Dr. Jack C Huang
Gastroenterologist
14010 Smoketown Rd Suite 117
Woodbridge
, Virginia 22192-4704
Dr. Jack C Huang
Gastroenterologist
14010 Smoketown Rd Suite 117
Woodbridge
, Virginia 22192-4704
(703) 897-8763
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Jack C Huang
- 14010 Smoketown Rd Suite 117
- Woodbridge, VA
- Zip : 22192
- Fax : (703) 897-8763
- Phone : (703) 580-0181
Second Address
- Dr. Jack C Huang
- 14010 Smoketown Rd Suite 117
- Woodbridge, VA
- Zip : 22192-4704
- Fax : (703) 897-8763
- Phone : (703) 580-0181
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 0101235911 | VA |
National Provider Identifier
| NPI | 1003802380 |
|---|---|
| Provider Name | Dr. Jack C Huang |
| First Address | Woodbridge, VA 22192 |
| Second Address | Woodbridge, VA 22192-4704 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2005 |
| Last Update Date | 13/02/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010102138 | (05) | VA |
| I04988 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.