Provider Demographics
NPI:1225027402
Name:HOANG, THUY D (DO)
Entity Type:Individual
Prefix:
First Name:THUY
Middle Name:D
Last Name:HOANG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2110 HARRISBURG PIKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17604-3200
Mailing Address - Country:US
Mailing Address - Phone:717-544-3191
Mailing Address - Fax:717-544-3637
Practice Address - Street 1:2110 HARRISBURG PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17604-3200
Practice Address - Country:US
Practice Address - Phone:717-544-3191
Practice Address - Fax:717-544-3637
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2007-09-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS012505207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1530146OtherGATEWAY HEALTH PLAN
PA50004370OtherCAPITAL BLUE CROSS
PA7152689OtherAETNA NON-HMO
PAH75792OtherHEALTH ASSURANCE
PAP004903OtherGATEWAY HEALTH PLAN
PA0019291920001Medicaid
PA110245371OtherRAILROAD MEDICARE
PA1435304OtherHIGHMARK BLUE SHIELD
PA78345 S1QAOtherGEISINGER HEALTH PLAN
PA1114673OtherAETNA HMO
PA7152689OtherAETNA NON-HMO
PAH75792Medicare UPIN