Individual
CHUONG VAN TRINH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5920 N 5TH ST, PHILADELPHIA, PA 19120-1824
(215) 548-5099
(215) 548-5296
Mailing address
5920 N 5TH ST, PHILADELPHIA, PA 19120-1824
(215) 548-5099
(215) 548-5296
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD034771E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011159877
—
PA
Enumeration date
06/16/2006
Last updated
08/20/2012
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