# MAI TAI NGUYEN, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265692230
- **Authorized official:** MAI TAI NGUYEN M.D. (OWNER)
- **Authorized official phone:** (978) 686-9152

## Contact information

- **Practice address:** 411 MERRIMACK ST, SUITE 203, METHUEN, MA 01844-5821
- **Practice address phone:** (978) 686-9152
- **Mailing address:** 186 BEACON ST, ANDOVER, MA 01810-2813
- **Mailing address phone:** (978) 686-9152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 54685 | MA | Yes |

## Other

- **Enumeration date:** 06/13/2008
- **Last updated:** 06/13/2008