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NPI Code Detail

MEDICARE: DR. TONY THIEU MD

MEDICARE: DR. TONY THIEU 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
1207W00000XOphthalmology PhysicianMD484318PA
2207WX0120XCornea and External Diseases Specialist PhysicianMD484318PA

General Provider Information

NPI Number : 1558998328
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TONY THIEU MD
Provider Business Mailing Address
First Line : 3500 N BROAD ST RM 1A
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-4106
Country : US
Telephone Number : 215-707-2433
Fax Number :
Provider Business Practice Location Address
First Line : 3401 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-5103
Country : US
Telephone Number : 215-707-3185
Fax Number : 214-707-1684
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2020
Last Update Date : 01/12/2026

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Directions to “ DR. TONY THIEU MD” Practice Location

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