| Doctor Name: | HAIDANG THI TRUONG |
| NPI Number: | 1033546700 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN2263216 |
| Business Practice Address: | 663 Main St Melrose, MA - 021763139 |
| Business Phone Number: | 7816651985 |
| Business Fax Number: | 7816650226 |
| Mailing Address: | 663 Main St, MELROSE |
| State: | MA |
| Postal Code: | 021763139 |
| Phone Number: | 7816651985 |
| Fax Number: | 7816650226 |
| NPI Enumeration Date: | 09/26/2013 |
| NPI Last Update Date: | 01/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN2263216 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |