Individual
ANDREW TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
30 PROSPECT AVE # ETD, HACKENSACK, NJ 07601-1915
(201) 893-1292
Mailing address
293 TAFT RD, RIVER EDGE, NJ 07661-1011
(201) 893-1292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00547100
NJ
Other
Enumeration date
10/23/2018
Last updated
11/14/2019
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