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NPI Code Detail

MEDICARE: OANH HOANG NGUYEN

MEDICARE:   OANH HOANG NGUYEN
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
1183500000XPharmacist28RI02562400NJ

General Provider Information

NPI Number : 1528374089
Entity Type Code : Individual
Provider Name (Legal Business Name) : OANH HOANG NGUYEN
Provider Business Mailing Address
First Line : 12 PRINCETON AVE
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-7107
Country : US
Telephone Number : 609-927-0875
Fax Number :
Provider Business Practice Location Address
First Line : 30 N ALBANY AVE
Second Line :
City : ATLANTIC CITY
State : NJ
Zip : 08401-3509
Country : US
Telephone Number : 609-340-8308
Fax Number : 609-344-1376
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2010
Last Update Date : 08/23/2010

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Directions to “ OANH HOANG NGUYEN ” Practice Location

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