Individual
MAI TAI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 MERRIMACK ST, SUITE 203, METHUEN, MA 01844-5821
(978) 686-9152
(978) 794-3516
Mailing address
186 BEACON ST, ANDOVER, MA 01810-2813
(978) 686-9152
(978) 794-3516
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
54685
MA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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