Individual
DIEM TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00326600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01478026
AMERIGROUP
NJ
05
—
0286745
—
NJ
01
—
100340735601
AMERICHOICE
NJ
01
—
8332485
AETNA
NJ
Enumeration date
06/20/2011
Last updated
01/10/2017
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