MEDICARE: DR. LINH M DANG

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
1	183500000X	Pharmacist	RP439671	PA

General Provider Information

NPI Number	:	1275669657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINH M DANG

Provider Business Mailing Address
First Line	:	720 HAWS AVE
Second Line	:
City	:	NORRISTOWN
State	:	PA
Zip	:	19401-3735
Country	:	US
Telephone Number	:	215-554-4030
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 W RIDGE PIKE
Second Line	:	GENUARDI'S
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-3702
Country	:	US
Telephone Number	:	610-276-1010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	10/25/2010

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