Individual
DR. TRONG V NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 HARRISON AVE, SUITE 308, BOSTON, MA 02111-1924
(617) 423-9088
(617) 423-7332
Mailing address
65 HARRISON AVE, SUITE 308, BOSTON, MA 02111-1924
(617) 423-9088
(617) 423-7332
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AN3244263
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53654
MASS. LICENSE NUMBER
MA
01
—
B97870
PIN
MA
01
—
MN0206981AT
STATE CONTROL SYSTEM #
MA
Enumeration date
01/16/2007
Last updated
03/07/2023
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