Individual
THANH LAM NGOC TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 ESSEX ST STE 303, HACKENSACK, NJ 07601-8566
(551) 996-8100
Mailing address
360 ESSEX ST STE 303, HACKENSACK, NJ 07601-8566
(551) 996-8100
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25MA11884000
NJ
2084V0102X
Vascular Neurology Physician
Primary
25MA11884000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2018
Last updated
08/17/2023
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