Individual
HAU NGOC THI PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1200
(800) 275-6401
Mailing address
215 ALDER LN, LEWISBURG, PA 17837-9360
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT219363
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT219363
PA
Other
Enumeration date
07/08/2019
Last updated
06/24/2024
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