Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 25MA05285400 | NJ |
NPI | 1194787606 |
---|---|
Provider Name | Dr. Maryann Huhn-Werner |
First Address | Westfield, NJ 07090 |
Second Address | Westfield, NJ 07090 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 29/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E74086 | (02) |