Organization
THE 02 ZONE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAI Q NGUYEN MD (OWNER)
(540) 536-6547
Entity
Organization
Contact information
Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-6547
(540) 536-4277
Mailing address
136 LINDEN DR, SUITE 104, WINCHESTER, VA 22601-6900
(540) 678-3588
(540) 678-9025
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548553696
—
VA
01
—
DS3426
RR MEDICARE
VA
Enumeration date
05/24/2011
Last updated
06/11/2012
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