Provider Demographics
NPI:1255649448
Name:NGUYEN, ALINE D (MD)
Entity Type:Individual
Prefix:
First Name:ALINE
Middle Name:D
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALINE
Other - Middle Name:MINH DUNG THI
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2730 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1979
Mailing Address - Country:US
Mailing Address - Phone:301-942-8799
Mailing Address - Fax:301-933-8554
Practice Address - Street 1:2730 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-1979
Practice Address - Country:US
Practice Address - Phone:301-942-8799
Practice Address - Fax:301-933-8554
Is Sole Proprietor?:No
Enumeration Date:2010-09-22
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0071146207L00000X
MDH70799207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology