Individual
RA LA HUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2175 LEMOINE AVE FL 6, FORT LEE, NJ 07024-6008
(201) 886-9000
Mailing address
26 N FARVIEW AVE, PARAMUS, NJ 07652-2702
(201) 414-0219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
030471
NY
363A00000X
Physician Assistant
Primary
25MP00789900
NJ
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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