Individual
DR. MARK MINH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, SANTA CLARA VALLEY MEDICAL CENTER, SAN JOSE, CA 95128-2604
(408) 885-2100
(408) 885-2028
Mailing address
751 S BASCOM AVE, SANTA CLARA VALLEY MEDICAL CENTER, SAN JOSE, CA 95128-2604
(408) 885-2100
(408) 885-2028
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
204530
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157619
—
MA
01
—
204530
TUFTS HEALTH PLAN
MA
01
—
J22602
BCBS MA
MA
Enumeration date
02/24/2006
Last updated
02/11/2022
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