Organization
BEN NGUYEN, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN NGUYEN (PRESIDENT)
(703) 876-4270
Entity
Organization
Contact information
Practice address
8501 ARLINGTON BLVD, SUITE 330, FAIRFAX, VA 22031-4617
(703) 876-4270
(703) 876-4276
Mailing address
8501 ARLINGTON BLVD, SUITE 330, FAIRFAX, VA 22031-4617
(703) 876-4270
(703) 876-4276
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101059150
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006105572
—
VA
01
—
226790
ANTHEM PROVIDER #
VA
01
—
5314-0001
CARE FIRST PROV #
DC
05
—
6100006000
—
WV
05
—
663203300
—
MD
Enumeration date
02/01/2007
Last updated
11/27/2007
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