Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 01610 | MD |
NPI | 1063777811 |
---|---|
Provider Name | Hoan Dang |
First Address | Philadelphia, PA 19114-4200 |
Second Address | Philadelphia, PA 19114-4200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2012 |
Last Update Date | 08/10/2019 |