# ST. LUCIE GASTROINTESTINAL DISEASES PL

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

## Provider details

- **NPI number:** 1518128438
- **Authorized official:** DR. KHIEM NGUYEN M.D. (PHYSICIAN)
- **Authorized official phone:** (215) 275-4598

## Contact information

- **Practice address:** ELM AND CARLTON STREET, BUFFALO, NY 14263-0001
- **Practice address phone:** (716) 845-2300
- **Mailing address:** 430 CHANSLOR RD, BRUNSWICK, GA 31525-8707
- **Mailing address phone:** (215) 275-4598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2008
- **Last updated:** 07/10/2025