Individual
DR. LONG H NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
(215) 456-7890
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI03388400
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MT223355
PA
Other
Enumeration date
09/19/2011
Last updated
06/14/2021
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