Individual
DANH CONG HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-4922
(814) 877-3622
Mailing address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-4922
(814) 877-3622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS008807L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026543902
UNIVERA
NY
05
—
0016994770007
—
PA
01
—
02138998
NY MEDICAID
NY
01
—
1068779
W. VIRGINIA WORKERS COMP
WV
01
—
152076
UNISON
PA
01
—
1531885
GATEWAY
PA
01
—
207349
UPMC
PA
01
—
3550310
AETNA
PA
01
—
903240
BLUE SHIELD
PA
01
—
P00111373
RR MEDICARE
PA
Enumeration date
07/14/2005
Last updated
05/02/2013
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