Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD034370E | PA |
NPI | 1003801853 |
---|---|
Provider Name | Dr. Minh Quang Nguyen |
First Address | Bethlehem, PA 18017-7307 |
Second Address | Bethlehem, PA 18017-7307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2005 |
Last Update Date | 08/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0012827180001 | (05) | PA |
E52462 | (02) |