Provider Demographics
NPI:1467431023
Name:NGO, THUY D (MD)
Entity Type:Individual
Prefix:DR
First Name:THUY
Middle Name:D
Last Name:NGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 CETRONIA RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9569
Mailing Address - Country:US
Mailing Address - Phone:484-426-2520
Mailing Address - Fax:484-426-2570
Practice Address - Street 1:501 CETRONIA RD
Practice Address - Street 2:SUITE 120
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9569
Practice Address - Country:US
Practice Address - Phone:484-426-2520
Practice Address - Fax:484-426-2570
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236896207V00000X
PAMD433482207VG0400X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02665630Medicaid
NYRA9054Medicare ID - Type Unspecified
NY02665630Medicaid