Individual
DUC THI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1608 ROUTE 88 W, STE 102, BRICK, NJ 08724-3009
(732) 836-9300
(732) 836-9305
Mailing address
1608 ROUTE 88 W, STE 102, BRICK, NJ 08724-3009
(732) 836-9300
(732) 836-9305
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA59193
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300116857
RAIL ROAD MEDICARE
NJ
Enumeration date
06/20/2005
Last updated
07/16/2008
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