Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080A0000X | Adolescent Medicine | 25MA10350700 | NJ |
Y | 2080A0000X | Adolescent Medicine | MD446677 | PA |
NPI | 1053557504 |
---|---|
Provider Name | Dr. Jennifer Hinlu Chuang |
First Address | Paterson, NJ 07503-2621 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2009 |
Last Update Date | 17/09/2019 |