Provider Demographics
NPI:1982999538
Name:TRAN, DUY PHUOC (DO)
Entity Type:Individual
Prefix:DR
First Name:DUY
Middle Name:PHUOC
Last Name:TRAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2100 MACK BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-5622
Mailing Address - Country:US
Mailing Address - Phone:484-884-0617
Mailing Address - Fax:484-884-0628
Practice Address - Street 1:1200 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6202
Practice Address - Country:US
Practice Address - Phone:610-402-9750
Practice Address - Fax:610-402-9763
Is Sole Proprietor?:No
Enumeration Date:2011-06-12
Last Update Date:2021-06-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS017064208000000X, 2080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics