Provider Demographics
NPI:1396709218
Name:NGUYEN, CHRISTIAN HOANG (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:HOANG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 615
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-0615
Mailing Address - Country:US
Mailing Address - Phone:978-266-2676
Mailing Address - Fax:978-266-2680
Practice Address - Street 1:1 GENERAL ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01841-2961
Practice Address - Country:US
Practice Address - Phone:978-683-9103
Practice Address - Fax:978-946-8067
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2008-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2338912085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7505612OtherAETNA/USHC
MAAA97829OtherHARVARD PILGRIM
NH01Y012245MA01OtherBLUE SHIELD ANTHEM
MA2140462Medicaid
NH30207085Medicaid
MA674522OtherCIGNA
MA129658OtherFALLON
MA496566OtherTUFTS HEALTH PLAN
MAJ42384OtherBLUE CROSS/BLUE SHIELD