NPI | 1699212704 |
---|---|
Doing Business As | GIAC-CHAN NGUYEN-TAN MD |
Entity Type | Organization |
Authorized Contact | GIAC-CHAN NGUYEN-TAN Sole Mbr 203-848-7994 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 028148) |
Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: CT 028148) |
207P00000X Emergency Medicine (Licence: CT 028148) | |
Enumeration Date | 2017-01-26 |
Last Update Date | 2017-01-26 |