Individual
PAMELA H. NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
707 E MAIN ST, RADIOLOGIC ASSOCIATES, PC, MIDDLETOWN, NY 10940-2650
(845) 333-1258
(845) 343-0617
Mailing address
707 E MAIN ST, RADIOLOGIC ASSOCIATES, PC, MIDDLETOWN, NY 10940-2650
(845) 333-1258
(845) 343-0617
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
260785
NY
2085R0202X
Diagnostic Radiology Physician
Primary
260785
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03358752
—
NY
01
—
036113204
MEDICAL LICENSE
IL
01
—
BLUE SHIELD
021622158
IL
Enumeration date
09/22/2006
Last updated
10/04/2011
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