Individual
DR. CANDACE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1324 MACDADE BLVD, WOODLYN, PA 19094-1501
(610) 872-2200
Mailing address
5856 MONASSAS RUN RD, MILFORD, OH 45150-8760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.128458
OH
207Q00000X
Family Medicine Physician
MD465578
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD465578
MEDICAL LICENSE
PA
Enumeration date
04/08/2013
Last updated
05/29/2019
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