| Doctor Name: | PAUL G NGUYEN |
| NPI Number: | 1457781254 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | MA056320 |
| Business Practice Address: | 43 W Ridge Pike Limerick, PA - 194681711 |
| Business Phone Number: | 6102266200 |
| Business Fax Number: | 6102266201 |
| Mailing Address: | 43 W Ridge Pike, LIMERICK |
| State: | PA |
| Postal Code: | 194681711 |
| Phone Number: | 6107286100 |
| Fax Number: | 6107286071 |
| NPI Enumeration Date: | 11/15/2013 |
| NPI Last Update Date: | 11/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA056320 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |