Individual
DR. HIEP DINH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
576 MERRIMACK ST, LOWELL, MA 01854-3911
(978) 453-5552
(978) 453-5015
Mailing address
576 MERRIMACK ST, LOWELL, MA 01854-3911
(978) 453-5552
(978) 453-5015
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
50514
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185833
—
MA
01
—
043198357
EMPLOYER TAX ID
—
Enumeration date
10/27/2006
Last updated
07/08/2007
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