Individual
DR. AUGUSTINE D NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Mailing address
735 S 12TH ST, SUITE 303, PHILADELPHIA, PA 19147-2643
(443) 803-8283
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT193692
PA
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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