Individual
VI BANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
537 STANTON CHRISTIANA RD, NEWARK, DE 19713-2146
(302) 633-7550
(302) 633-7556
Mailing address
2001 N HOPE ST UNIT 2, PHILADELPHIA, PA 19122-1706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA060228
PA
363A00000X
Physician Assistant
Primary
MA060228
PA
Other
Enumeration date
10/20/2018
Last updated
03/03/2023
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