Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0106X | Oral and Maxillofacial Pathology | 22D102134600 | NJ |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 22DI02134600 | NJ |
NPI | 1568483311 |
---|---|
Provider Name | Cathy Yuan Hung-Orlando |
First Address | Monroe Twp, NJ 08831 |
Second Address | Monroe Twp, NJ 08831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 16/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11302009 | CAQH (01) | NJ |