Individual
DR. KIM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF ALLERGY & IMMUNOLOGY, PHILADELPHIA, PA 19104
(215) 590-1997
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF ALLERGY & IMMUNOLOGY, PHILADELPHIA, PA 19104
(215) 590-1997
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT213508
PA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
MT213508
PA
Other
Enumeration date
03/31/2017
Last updated
06/26/2020
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