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Individual

LOC VAN TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1501 LANSDOWNE AVE, SUITE 304, DARBY, PA 19023-1333
(610) 534-6340
(610) 534-6342
Mailing address
1501 LANSDOWNE AVE, SUITE 304, DARBY, PA 19023-1333
(610) 534-6340
(610) 534-6342

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD053136L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014736580004
PA
Enumeration date
03/09/2006
Last updated
11/01/2010
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