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NPI Code Detail

MEDICARE: NGA THUY NGO

MEDICARE: NGA THUY NGO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPH1002798MA

General Provider Information

NPI Number : 1164396966
Entity Type Code : Individual
Provider Name (Legal Business Name) : NGA THUY NGO
Provider Business Mailing Address
First Line : 2235 DORCHESTER AVE
Second Line :
City : BOSTON
State : MA
Zip : 02124-5623
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2235 DORCHESTER AVE
Second Line :
City : BOSTON
State : MA
Zip : 02124-5623
Country : US
Telephone Number : 617-296-1025
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2025
Last Update Date : 10/03/2025

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Directions to “ NGA THUY NGO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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