Basic Information
| Provider Information | |||||||||
| NPI: | 1962820001 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | DINH | ||||||||
| FirstName: | ANH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 N 21ST ST APT 831 | ||||||||
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| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191304259 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3615 CIVIC CENTER BLVD # 707C | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191044318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176677000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2014 | ||||||||
| LastUpdateDate: | 05/09/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/09/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZC0006X | MD465362 | PA | Y | Allopathic & Osteopathic Physicians | Pathology | Clinical Pathology |
No ID Information.