Individual
DR. LY THIEN NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
909 WALNUT STREET, 2ND FLOOR, PHILADELPHIA, PA 19107-5509
(215) 955-1234
(215) 923-6792
Mailing address
909 WALNUT STREET, 2ND FLOOR, PHILADELPHIA, PA 19107-5509
(215) 955-1234
(215) 923-6792
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25MA09265000
NJ
2084N0400X
Neurology Physician
Primary
MD445016
PA
Other
Enumeration date
06/22/2008
Last updated
12/15/2014
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