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Organization

TON THAT CHIEU

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TON THAT CHIEU M.D. (EMPLOYER)
(301) 445-4100
Entity
Organization

Contact information

Practice address
7505 NEW HAMPSHIRE AVE STE 310, TAKOMA PARK, MD 20912-6972
(301) 445-4100
(301) 445-2167
Mailing address
7505 NEW HAMPSHIRE AVE STE 310, TAKOMA PARK, MD 20912-6972
(301) 445-4100
(301) 445-2167

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D23429
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0680
BLUE CHOICE
MD
01
4170
AETNA
01
81140
MAMSI
MD
Enumeration date
01/02/2008
Last updated
01/02/2008
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