Individual
ANN PHUONG DUY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-3192
Mailing address
580 RIDGELAND TER, LEONIA, NJ 07605-1018
(201) 213-9132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
224313
NY
207P00000X
Emergency Medicine Physician
25MA08473100
NJ
Other
Enumeration date
08/26/2005
Last updated
07/24/2019
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