Provider Demographics
NPI:1760752828
Name:TRUONG, JENNIFER THUY-LAN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:THUY-LAN
Last Name:TRUONG
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WASHINGTON ST
Mailing Address - Street 2:BOX 14
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1552
Mailing Address - Country:US
Mailing Address - Phone:617-636-8885
Mailing Address - Fax:617-636-8886
Practice Address - Street 1:800 WASHINGTON ST
Practice Address - Street 2:BOX 14
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-8885
Practice Address - Fax:617-636-8886
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study