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Individual

TRISTY TRA NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
5434 BURWOOD AVE, PENNSAUKEN, NJ 08109-4706
(856) 857-7198
Mailing address
5434 BURWOOD AVE, PENNSAUKEN, NJ 08109-4706
(856) 857-7198

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00617900
NJ

Other

Enumeration date
05/03/2021
Last updated
05/03/2021
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