NPI 1376643353

Phuong H DO

Organisation Point of Service Philadelphia, PA

Practice location

Address: 600 Washington Ave Unit# 18e, Philadelphia, PA 19147-4836
Phone: (215) 755-5100
Fax: (215) 755-1055

Authorised official

Name: Trissie Diem Nguyen
Title: Pharmacy Manager
Phone: (215) 755-5100

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence PP481360 (PA)

Other Point of Service providers in Pennsylvania →

Registry record

NPI: 1376643353
Entity type: Organization
NPI issued: 22 Sep 2006
Record last updated: 1 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.