Provider Demographics
NPI:1073880118
Name:DUY B. NGUYEN M.D., LLC
Entity Type:Organization
Organization Name:DUY B. NGUYEN M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:TESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-438-9398
Mailing Address - Street 1:169 S MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3225
Mailing Address - Country:US
Mailing Address - Phone:724-438-3524
Mailing Address - Fax:724-438-5218
Practice Address - Street 1:169 S MOUNT VERNON AVE
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3225
Practice Address - Country:US
Practice Address - Phone:724-438-3524
Practice Address - Fax:724-438-5218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty