Healthcare Provider Details

I. General information

NPI: 1184928392
Provider Name (Legal Business Name): ZUNG MY HOANG M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DUNG MY HOANG MD

II. Dates (important events)

Enumeration Date: 01/03/2011
Last Update Date: 05/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 TROLLEY CROSSING RD
CHARLTON MA
01507
US

IV. Provider business mailing address

9 TROLLEY CROSSING RD
CHARLTON MA
01507-1351
US

V. Phone/Fax

Practice location:
  • Phone: 508-980-7055
  • Fax:
Mailing address:
  • Phone: 508-980-7055
  • Fax: 508-980-7072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number54462
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number256102
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: