Individual
QUE HUONG THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
Mailing address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
03323
KY
208100000X
Physical Medicine & Rehabilitation Physician
03323
KY
208100000X
Physical Medicine & Rehabilitation Physician
20A11938
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
257273
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000681129
ANTHEM - NORTON ICC
KY
Enumeration date
09/23/2008
Last updated
05/12/2023
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