Basic Information
| Provider Information | |||||||||
| NPI: | 1548254170 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NGUYEN | ||||||||
| FirstName: | NGHIA | ||||||||
| MiddleName: | HUU | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 27 PLEASANT HILL DR | ||||||||
| Address2: | |||||||||
| City: | CAMDEN | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199344324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026981896 | ||||||||
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| Practice Location | |||||||||
| Address1: | 300 TUSKEGEE BLVD | ||||||||
| Address2: | |||||||||
| City: | DOVER AFB | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199025300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026772525 | ||||||||
| FaxNumber: | 3026772526 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/09/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MD0615011 | PA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.