Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 25MA08123000 | NJ |
NPI | 1477594133 |
---|---|
Provider Name | Dr. Eric A. Huang |
First Address | Ardsley, NY 10502-1109 |
Second Address | Basking Ridge, NJ 07920-1654 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 07/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I61609 | (02) | NJ |