Organization
MAI TAI NGUYEN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAI TAI NGUYEN M.D. (OWNER)
(978) 686-9152
Entity
Organization
Contact information
Practice address
411 MERRIMACK ST, SUITE 203, METHUEN, MA 01844-5821
(978) 686-9152
Mailing address
186 BEACON ST, ANDOVER, MA 01810-2813
(978) 686-9152
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
54685
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J04744
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/13/2008
Last updated
06/13/2008
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