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Individual

DR. TUNG THANH NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756
(603) 650-6177
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-6177

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
14803R
LA
207L00000X
Anesthesiology Physician
Primary
16556
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1001791
LA
Enumeration date
02/22/2007
Last updated
06/30/2014
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