| Thy Nguyen Md Llc | |
|
10600 York Rd Ste 102 Cockeysville MD 21030-2351 | |
| (443) 318-4141 | |
| Not Available |
| Full Name | Thy Nguyen Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10600 York Rd, Cockeysville, Maryland |
| Authorized Official Name and Position | Thy B Nguyen (OWNER) |
| Authorized Official Contact | 4433184141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thy Nguyen Md Llc 10600 York Rd Ste 102 Cockeysville MD 21030-2351 Ph: (443) 318-4141 | Thy Nguyen Md Llc 10600 York Rd Ste 102 Cockeysville MD 21030-2351 Ph: (443) 318-4141 |
| NPI Number | 1912297797 |
|---|---|
| Provider Enumeration Date | 04/13/2011 |
| Last Update Date | 04/14/2011 |
| Medicare PECOS PAC ID | 4082898010 |
|---|---|
| Medicare Enrollment ID | O20110415000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912297797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0066660 (Maryland) | Primary |
| Provider Name | Thy B Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659415123 PECOS PAC ID: 6204917651 Enrollment ID: I20080111000333 |
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