Healthcare Provider Details

I. General information

NPI: 1891148375
Provider Name (Legal Business Name): NGOC S HOANG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DIANA HOANG

II. Dates (important events)

Enumeration Date: 07/19/2016
Last Update Date: 09/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 POND ST # 10
FRANKLIN MA
02038-3807
US

IV. Provider business mailing address

38 POND ST # 10
FRANKLIN MA
02038-3807
US

V. Phone/Fax

Practice location:
  • Phone: 774-291-2063
  • Fax:
Mailing address:
  • Phone: 774-291-2063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: