Provider Demographics
NPI:1558590273
Name:NGO, VI T (DO)
Entity Type:Individual
Prefix:DR
First Name:VI
Middle Name:T
Last Name:NGO
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:P.O. BOX 191
Mailing Address - Street 2:PROVIDER ENROLLMENT DEPARTMENT
Mailing Address - City:ROCKLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19732-0191
Mailing Address - Country:US
Mailing Address - Phone:302-651-4488
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:1350 S. HICKORY STREET
Practice Address - Street 2:NEMOURS PEDIATRIC PARTNERS AT HOLMES REGIONAL MEDICAL C
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3224
Practice Address - Country:US
Practice Address - Phone:321-434-7208
Practice Address - Fax:321-434-5344
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2012-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLUO2239390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program