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Individual

MR. HIEN TAN NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 502-0723
Mailing address
PO BOX 64563, BALTIMORE, MD 21264-4563

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A092451
CA
208600000X
Surgery Physician
Primary
D67008
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018233800
MD
Enumeration date
01/31/2008
Last updated
10/27/2008
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