Individual
DR. PHONG QUANG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1860 TOWN CENTER DR STE 130, RESTON, VA 20190-5898
(703) 709-9174
(703) 709-9183
Mailing address
1860 TOWN CENTER DR STE 130, RESTON, VA 20190-5898
(703) 709-9174
(703) 709-9183
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101036868
VA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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