Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | MD448906 | PA |
NPI | 1497880967 |
---|---|
Provider Name | Dr. Khanh-Ha Dan Nguyen |
First Address | Willow Grove, PA 19090-1338 |
Second Address | Mechanicsburg, PA 17050-9400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 23/10/2014 |