Provider Demographics
NPI:1841487485
Name:NGUYEN, MARIA BICH THI (DO)
Entity type:Individual
Prefix:
First Name:MARIA BICH
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 FRIES MILL ROAD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012
Mailing Address - Country:US
Mailing Address - Phone:856-875-1209
Mailing Address - Fax:
Practice Address - Street 1:151 FRIES MILL ROAD
Practice Address - Street 2:SUITE 301
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012
Practice Address - Country:US
Practice Address - Phone:856-875-1209
Practice Address - Fax:856-875-9556
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014206207V00000X
NJ25MB08495900207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0255114Medicaid
PA1020083320001Medicaid
NJ0255114Medicaid
PA116764VX8Medicare PIN