Provider Demographics
NPI:1053557504
Name:CHUANG, JENNIFER HINLU (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HINLU
Last Name:CHUANG
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:703 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-2621
Mailing Address - Country:US
Mailing Address - Phone:973-754-2000
Mailing Address - Fax:
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA - ADOLESCENT MED
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-6864
Practice Address - Fax:215-590-4708
Is Sole Proprietor?:No
Enumeration Date:2009-01-05
Last Update Date:2019-09-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA103507002080A0000X
PAMD4466772080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine