Individual
BEN L NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8501 ARLINGTON BLVD, #330, FAIRFAX, VA 22031-4625
(703) 876-4270
(703) 876-4276
Mailing address
8501 ARLINGTON BLVD, #330, FAIRFAX, VA 22031-4625
(703) 876-4270
(703) 876-4276
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101059150
VA
207T00000X
Neurological Surgery Physician
Primary
0101059150
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006105572
—
VA
01
—
226790
ANTHEM PROVIDER #
VA
01
—
5314
CARE FIRST BCBS PROV #
DC
Enumeration date
06/02/2006
Last updated
11/02/2009
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