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Organization

GCNT LLC

Active
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Organization

GCNT LLC

Active
Other names
GIAC-CHAN NGUYEN-TAN MD
Organization subpart
No

Provider details

NPI number
Authorized official
GIAC-CHAN NGUYEN-TAN MD (SOLE MBR)
(203) 848-7994
Entity
Organization

Contact information

Practice address
171 GRANDVIEW AVE, STE 105, WATERBURY, CT 06708-2517
(203) 755-2214
(203) 596-1133
Mailing address
171 GRANDVIEW AVE, STE 105, WATERBURY, CT 06708-2517
(203) 755-2214
(203) 596-1133

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
028148
CT
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
028148
CT
207R00000X
Internal Medicine Physician
Primary
028148
CT

Other

Enumeration date
01/26/2017
Last updated
01/26/2017
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