Provider Demographics
NPI:1285627745
Name:NGUYEN, VU (DO)
Entity Type:Individual
Prefix:DR
First Name:VU
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1150 GLENLIVET DR
Mailing Address - Street 2:STE B27
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-3112
Mailing Address - Country:US
Mailing Address - Phone:610-366-7404
Mailing Address - Fax:610-366-7405
Practice Address - Street 1:1150 GLENLIVET DR
Practice Address - Street 2:SUITE B27
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-3112
Practice Address - Country:US
Practice Address - Phone:610-366-7404
Practice Address - Fax:610-366-7405
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS-010774-L207Q00000X
PAOS010774L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine