Individual
TUONG VAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 288-3230
(617) 282-0954
Mailing address
335 SOUTH ST, BROOKLINE, MA 02467-3654
(617) 323-6368
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
80254
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3133281
—
MA
Enumeration date
06/15/2006
Last updated
07/08/2007
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