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Individual

BICH NGOC TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-7093
(919) 784-7395
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-7093
(919) 784-7395

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
121514
NC
207R00000X
Internal Medicine Physician
2007-00089
NC
208M00000X
Hospitalist Physician
Primary
2007-00089
NC
208M00000X
Hospitalist Physician
200700089
NC

Other

Enumeration date
03/05/2007
Last updated
01/14/2022
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