Individual
JACQUELINE NGHIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-5161
(215) 612-4069
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-5161
(215) 612-4069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB11554000
NJ
Other
Enumeration date
06/18/2018
Last updated
11/18/2023
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