Basic Information
Provider Information
NPI: 1780895870
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUANG
FirstName: NANCY
MiddleName: WEI-LING
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3400 BOX HILL CORPORATE CENTER DR STE 100
Address2:  
City: ABINGDON
State: MD
PostalCode: 210091290
CountryCode: US
TelephoneNumber: 4105155440
FaxNumber: 4105155771
Practice Location
Address1: 510 UPPER CHESAPEAKE DR
Address2: 518
City: BEL AIR
State: MD
PostalCode: 210144328
CountryCode: US
TelephoneNumber: 4436434530
FaxNumber: 4436434535
Other Information
ProviderEnumerationDate: 05/24/2007
LastUpdateDate: 06/01/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/01/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XD0071981MDY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


Home