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Organization
HIEP D. NGUYEN, M.D., P.C
Active
Organization
HIEP D. NGUYEN, M.D., P.C
Active
Parent organization
MEDICAL PROVIDER SERVICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL PROVIDER SERVICE
Authorized official
DR. HIEP DINH NGUYEN M.D. (PRESIDENT)
(978) 453-5552
Entity
Organization
Contact information
Practice address
576 MERRIMACK ST, LOWELL, MA 01854-3911
(978) 453-5552
(978) 453-5015
Mailing address
576 MERRIMACK ST, LOWELL, MA 01854-3911
(978) 453-5552
(978) 453-5015
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
50514
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9770003
—
MA
01
—
M15767
BLUECROSS BLUESHIELD
MA
Enumeration date
03/29/2007
Last updated
03/18/2015
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