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General NPI Number Information
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NPI Number | 1578140554
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Entity Type | Individual
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Provider Name | AI-TRAM NGOC BUI MD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 162 KINGS HWY N
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City | WESTPORT
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State | CT
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Zip | 06880-2444
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Country | US
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Telephone | 475-471-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 750 BROADWAY ST
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City | REDWOOD CITY
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State | CA
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Zip | 94063-3124
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 081712
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 181448
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License Number State | CA
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