Individual
DR. BICHCHAU THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
260 TREMONT ST, BOSTON, MA 02116
(617) 636-6052
Mailing address
800 WASHINGTON ST, #114, BOSTON, MA 02111
(617) 636-6052
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
250258
MA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
250258
MA
207NS0135X
Procedural Dermatology Physician
250258
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A869820
—
CA
Enumeration date
08/20/2008
Last updated
12/03/2024
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