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Individual

KHOA MAI NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2059 BRIGGS RD STE 304, MOUNT LAUREL, NJ 08054-4640
(856) 235-7080
(856) 273-6384
Mailing address
2059 BRIGGS RD STE 304, MOUNT LAUREL, NJ 08054-4640
(856) 235-7080
(856) 273-6384

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2016-00846
NC
207X00000X
Orthopaedic Surgery Physician
Primary
25MB100776200
NJ

Other

Enumeration date
06/01/2011
Last updated
07/22/2020
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