Individual
NAM N DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
50 N 12TH ST, LEMOYNE, PA 17043-1440
(717) 234-2561
(717) 236-1121
Mailing address
50 N 12TH ST, LEMOYNE, PA 17043-1440
(717) 234-2561
(717) 236-1121
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052868
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA052868
LICENSE
PA
Enumeration date
03/23/2007
Last updated
07/21/2022
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