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Individual

JIE CHEN NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3201
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
54640
WI
2085R0202X
Diagnostic Radiology Physician
54640
WI
2085R0202X
Diagnostic Radiology Physician
Primary
MD462073
PA

Other

Enumeration date
05/07/2009
Last updated
09/05/2017
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