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NPI Code Detail

MEDICARE: DUNG HOANG TRUONG MD

MEDICARE: DUNG HOANG TRUONG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician332505NY
22084P0800XPsychiatry Physician036.172527IL
32084P0800XPsychiatry Physician44118MN

General Provider Information

NPI Number : 1518933977
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUNG HOANG TRUONG MD
Provider Business Mailing Address
First Line : PO BOX 24449
Second Line :
City : NEW YORK
State : NY
Zip : 10087-0589
Country : US
Telephone Number : 833-351-8255
Fax Number :
Provider Business Practice Location Address
First Line : 8500 NORMANDALE LAKE BLVD STE 350
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55437-3805
Country : US
Telephone Number : 833-351-8255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 11/13/2024

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Directions to “ DUNG HOANG TRUONG MD” Practice Location

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