Provider Demographics
NPI:1508094160
Name:NGUYEN, DAVID MINH (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MINH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:773 ROUTE 70 E STE E125
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2364
Mailing Address - Country:US
Mailing Address - Phone:856-890-7200
Mailing Address - Fax:856-872-7636
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-8024
Practice Address - Fax:717-531-0882
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA119373207R00000X, 207RX0202X
NJ25MA11587900207RX0202X
PAMD483080207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA119373OtherSTATE MEDICAL LICENSE
NJ25MA115879000OtherNJ LICENSE