Individual
DR. BACH VAN NGUYEN
Active
Individual
DR. BACH VAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD-039485L
PA
207R00000X
Internal Medicine Physician
Primary
MD-039485L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001123542
MEDICAL ASSISTANCE
PA
05
—
001123542-0003
—
PA
Enumeration date
06/27/2005
Last updated
03/22/2016
Update your record
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