Individual
NGOC VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 ELDEN ST, STE 10, HERNDON, VA 20170-4833
(703) 689-2000
(703) 478-6612
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101226449
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164427175
—
VA
01
—
752351
MEDICARE PTAN
VA
Enumeration date
06/16/2005
Last updated
10/31/2023
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