Provider Demographics
NPI:1760623342
Name:NGUYEN, MARILYN QUYNH (MD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:QUYNH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1625 N GEORGE MASON DR STE 315
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3690
Mailing Address - Country:US
Mailing Address - Phone:703-717-4217
Mailing Address - Fax:703-717-4218
Practice Address - Street 1:1625 N GEORGE MASON DR STE 315
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3690
Practice Address - Country:US
Practice Address - Phone:703-717-4217
Practice Address - Fax:703-717-4218
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD73506208200000X
TXBP10025197208200000X
VA0101254642208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery