Individual
DR. PHUONG THANH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
212 COMMON ST, QUINCY, MA 02169-4709
(617) 858-4420
Mailing address
212 COMMON ST, QUINCY, MA 02169-4709
(617) 858-4420
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4990
MA
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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