Individual
NGAN DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-2169
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-2169
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MT225876
PA
Other
Enumeration date
03/13/2020
Last updated
06/10/2025
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