Doctor Name: | DR. HIEP DINH NGUYEN |
NPI Number: | 1699851139 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 50514 |
Business Practice Address: | 576 Merrimack St Lowell, MA - 018543911 |
Business Phone Number: | 9784535552 |
Business Fax Number: | 9784535015 |
Mailing Address: | 576 Merrimack St, LOWELL |
State: | MA |
Postal Code: | 018543911 |
Phone Number: | 9784535552 |
Fax Number: | 9784535015 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 50514 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |