Provider Demographics
NPI:1477809994
Name:NGUYEN, LINH HONG (PA)
Entity Type:Individual
Prefix:
First Name:LINH
Middle Name:HONG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8400 BUSTLETON AVE.
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152
Mailing Address - Country:US
Mailing Address - Phone:215-342-3600
Mailing Address - Fax:215-342-3662
Practice Address - Street 1:8400 BUSTLETON AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152
Practice Address - Country:US
Practice Address - Phone:215-342-3600
Practice Address - Fax:215-342-3662
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2014-04-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant