Doctor Name: | THUONG D LEDINH |
NPI Number: | 1205936663 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MA41821 |
Business Practice Address: | 38 Watchung Avenue Plainfield, NJ - 070601208 |
Business Phone Number: | 9087697881 |
Business Fax Number: | 9087690061 |
Mailing Address: | 38 Watchung Avenue, PLAINFIELD |
State: | NJ |
Postal Code: | 070601208 |
Phone Number: | 9087697881 |
Fax Number: | 9087690061 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 06/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MA41821 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |