Healthcare Provider Details

I. General information

NPI: 1497457253
Provider Name (Legal Business Name): NGOC BAO NGUYEN DO, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIA NGUYEN DO, MPH

II. Dates (important events)

Enumeration Date: 03/17/2023
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3565 PHILADELPHIA PIKE
CLAYMONT DE
19703-3106
US

IV. Provider business mailing address

3565 PHILADELPHIA PIKE
CLAYMONT DE
19703-3106
US

V. Phone/Fax

Practice location:
  • Phone: 302-320-4110
  • Fax: 302-798-6672
Mailing address:
  • Phone: 302-320-4110
  • Fax: 302-798-6672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberC2-0024979
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: