Provider Demographics
NPI:1952563660
Name:QU, HUAGUANG (MD)
Entity Type:Individual
Prefix:DR
First Name:HUAGUANG
Middle Name:
Last Name:QU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 HORIZON DR STE 102B
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3966
Mailing Address - Country:US
Mailing Address - Phone:215-395-8888
Mailing Address - Fax:877-795-7518
Practice Address - Street 1:1500 HORIZON DR STE 102B
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3966
Practice Address - Country:US
Practice Address - Phone:215-395-8888
Practice Address - Fax:877-795-7518
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD445746208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation