Healthcare Provider Details

I. General information

NPI: 1780273839
Provider Name (Legal Business Name): RESPONSIVE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2021
Last Update Date: 09/01/2023
Certification Date: 09/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

379 WALMART DR
CAMDEN DE
19934-1365
US

IV. Provider business mailing address

18 BOULDEN CIR STE 20
NEW CASTLE DE
19720-3494
US

V. Phone/Fax

Practice location:
  • Phone: 302-387-4343
  • Fax: 302-424-2202
Mailing address:
  • Phone: 302-992-8050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. HIEN QUANG NGUYEN
Title or Position: MANAGER
Credential: MD
Phone: 443-553-4332