Most Relevant Information
Provider Data
| NPI Number: | 1003802380 |
| Provider Name: | JACK C HUANG M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RG0100X |
| Specialty: | Internal Medicine |
| License Number: | 0101235911 |
Most Important Dates
| Enumeration Date: | 09/22/2005 |
| Last Updated: | 02/13/2018 |
Provider Practice Location
14010 SMOKETOWN RD
SUITE 117
WOODBRIDGE
VA
221924704
Practice Location Phone/Fax
| Phone: | 7035800181 |
| Fax: | 7038978763 |
Provider Mailing Location
14010 SMOKETOWN RD
SUITE 117
WOODBRIDGE
VA
22192
Provider Mailing Phone/Fax
| Phone: | 7035800181 |
| Fax: | 7038978763 |
Suggested EMR
Gastroenterology EMR