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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