Individual
LONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
55 FRUIT ST, BLAKE 4, BOSTON, MA 02114-2621
(617) 726-2426
Mailing address
55 FRUIT ST, BLAKE 4, BOSTON, MA 02114-2621
(617) 726-2426
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
262313
MA
Other
Enumeration date
03/27/2013
Last updated
08/08/2016
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