Organization
COLONIAL VILLAGE MEDICAL,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THUONG LEDINH M.D. (OWNER)
(732) 548-7887
Entity
Organization
Contact information
Practice address
3 STATE ROUTE 27, SUITE 106, EDISON, NJ 08820-3963
(732) 548-7887
(732) 548-7660
Mailing address
PO BOX 2505, EDISON, NJ 08818-2505
(732) 548-7887
(732) 548-7660
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
25MA04182100
NJ
Other
Enumeration date
06/07/2007
Last updated
03/01/2013
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