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Individual

ANHTAI H NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD,MBA,FACS

Contact information

Practice address
1138 OPAL CT, HAGERSTOWN, MD 21740-5940
(301) 745-5224
(301) 745-4616
Mailing address
1138 OPAL CT, HAGERSTOWN, MD 21740-5940
(301) 745-5224
(301) 745-4616

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0056023
MD
2086S0129X
Vascular Surgery Physician
D0056023
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113205900
MD
Enumeration date
07/06/2006
Last updated
01/23/2021
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