Provider Demographics
NPI:1649367160
Name:NGO, NANCY N (CNMT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:N
Last Name:NGO
Suffix:
Gender:F
Credentials:CNMT
Other - Prefix:
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Mailing Address - Street 1:121 WILMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-4627
Mailing Address - Country:US
Mailing Address - Phone:857-205-0040
Mailing Address - Fax:617-822-1984
Practice Address - Street 1:121 WILMINGTON AVE
Practice Address - Street 2:
Practice Address - City:DORCHESTER CENTER
Practice Address - State:MA
Practice Address - Zip Code:02124-4627
Practice Address - Country:US
Practice Address - Phone:857-205-0040
Practice Address - Fax:617-822-1984
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA2471S1302X, 2471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
Not Answered2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography