Organization
DR TAM NGUYEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAM NGUYEN OD (PRESIDENT)
(617) 347-3465
Entity
Organization
Contact information
Practice address
45 RIVINGTON STREET, NEW YORK, NY 10002
(212) 539-6206
Mailing address
3081 EDWIN AVE, 2J, FORT LEE, NJ 07024
(617) 347-3465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007248-1
NY
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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