Individual
PHUOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
JEFFERSON TORRESDALE HOSPITAL, 10800 KNIGHTS RD,, PHILADELPHIA, PA 19114
(215) 612-4000
Mailing address
1513 E CAYUGA ST, PHILADELPHIA, PA 19124-3971
(267) 644-6825
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
131807
PA
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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