Individual
DR. PHONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(703) 287-1075
(703) 287-1076
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101043746
VA
Other
Enumeration date
01/19/2007
Last updated
08/08/2014
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