Individual
DR. JACK C HUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14010 SMOKETOWN RD, SUITE 117, WOODBRIDGE, VA 22192-4704
(703) 580-0181
(703) 897-8763
Mailing address
14010 SMOKETOWN RD, SUITE 117, WOODBRIDGE, VA 22192
(703) 580-0181
(703) 897-8763
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101235911
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010102138
—
VA
Enumeration date
09/22/2005
Last updated
02/13/2018
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