Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 25MA08965900 | NJ |
NPI | 1083858872 |
---|---|
Provider Name | Joe T. Huang |
First Address | Newark, NJ 07103-2496 |
Second Address | Newark, NJ 07103-2496 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2009 |
Last Update Date | 25/07/2011 |