Individual
NG TUNG NIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, 2 DULLES, PHILADELPHIA, PA 19104-4238
(215) 662-7320
Mailing address
3400 SPRUCE ST, 2 DULLES, PHILADELPHIA, PA 19104-4238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN592302
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP014307
PA
Other
Enumeration date
10/02/2014
Last updated
02/20/2020
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