Provider Demographics
NPI:1558346700
Name:NGUYEN, HIEN BINH (MD)
Entity Type:Individual
Prefix:DR
First Name:HIEN
Middle Name:BINH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 W WOOLBRIGHT RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-6366
Mailing Address - Country:US
Mailing Address - Phone:561-364-7800
Mailing Address - Fax:561-364-0587
Practice Address - Street 1:2309 W WOOLBRIGHT RD
Practice Address - Street 2:SUITE 1
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6366
Practice Address - Country:US
Practice Address - Phone:561-364-7800
Practice Address - Fax:561-364-0587
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0053301207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD61524Medicare UPIN
FL07527Medicare ID - Type Unspecified