Individual
THUCUC T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718-5317
(302) 623-0188
(302) 733-5640
Mailing address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0023819
DE
207Q00000X
Family Medicine Physician
H0101153
MD
207Q00000X
Family Medicine Physician
OS018366
PA
207Q00000X
Family Medicine Physician
OT015891
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103140071
—
PA
Enumeration date
07/02/2014
Last updated
08/23/2024
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