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Organization

BERKS GASTROINTESTINAL AND LIVER DISEASES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHIEM NGUYEN M.D. (OWNER)
(215) 612-5260
Entity
Organization

Contact information

Practice address
2747 CENTURY BLVD, SUITE 100, WYOMISSING, PA 19610-3346
(215) 612-5260
Mailing address
2747 CENTURY BLVD, SUITE 100, WYOMISSING, PA 19610-3346

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD068281L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1016424950001
PA
Enumeration date
09/06/2006
Last updated
04/18/2008
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