Healthcare Provider Details
I. General information
NPI: 1558340570
Provider Name (Legal Business Name): WILLIAM BUSKE NGUYEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/10/2006
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
U.S. NAVAL HOSPITAL VIA CONTRADA BOSCARIELLO
GRICIGNANO DI AVERSA CE
81030
IT
IV. Provider business mailing address
PSC 808 BOX 19
FPO AE
09618-0001
US
V. Phone/Fax
- Phone: 81-811-6000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083A0100X |
| Taxonomy | Aerospace Medicine Physician |
| License Number | 26656 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | 26656 |
| License Number State | SC |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 26656 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: