Individual
DEREK NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
631 S QUAKER LN, WEST HARTFORD, CT 06110-1043
(860) 233-5133
(860) 233-5211
Mailing address
631 S QUAKER LN, WEST HARTFORD, CT 06110-1043
(860) 233-5133
(860) 233-5212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049412
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
Enumeration date
02/21/2008
Last updated
02/06/2025
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