Provider Demographics
NPI:1033695374
Name:DANG, NGOC-UYEN
Entity Type:Individual
Prefix:
First Name:NGOC-UYEN
Middle Name:
Last Name:DANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12808 TIMBER VIEW CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-3500
Mailing Address - Country:US
Mailing Address - Phone:202-390-9201
Mailing Address - Fax:
Practice Address - Street 1:2201 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-1307
Practice Address - Country:US
Practice Address - Phone:240-514-1009
Practice Address - Fax:240-514-1010
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202204426183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No183500000XPharmacy Service ProvidersPharmacist