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Organization
NGOC AN PHAN, PC
Active
Organization
NGOC AN PHAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGOC AN PHAN M.D (PRESIDENT)
(215) 923-6080
Entity
Organization
Contact information
Practice address
909 S. 11TH STREET, PHILADELPHIA, PA 19147-3701
(215) 923-6080
(215) 923-2082
Mailing address
909 S. 11TH STREET, PHILADELPHIA, PA 19147-3701
(215) 923-6080
(215) 923-2082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD039037L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09000171
—
PA
Enumeration date
05/03/2007
Last updated
06/13/2012
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