Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 25MD00283900 | NJ |
NPI | 1396732772 |
---|---|
Provider Name | Dr. Helene T Nguyen |
First Address | Hackettstown, NJ 07840-2412 |
Second Address | Hackettstown, NJ 07840-2412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2005 |
Last Update Date | 18/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0070165 | (05) | NJ |
V04724 | (02) | NJ |
V04724 | (02) | NY |