Individual
DR. JONATHAN TOAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
501 MADISON AVE, SCRANTON, PA 18510-2401
(570) 991-8563
Mailing address
501 MADISON AVE, SCRANTON, PA 18510-2401
(503) 935-9249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT015467
PA
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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