Provider Demographics
NPI:1720063688
Name:TRUONG, STEVEN N (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:N
Last Name:TRUONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:220 GRANDVIEW AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-1740
Mailing Address - Country:US
Mailing Address - Phone:717-761-8688
Mailing Address - Fax:717-761-5604
Practice Address - Street 1:220 GRANDVIEW AVE
Practice Address - Street 2:STE 200
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-1740
Practice Address - Country:US
Practice Address - Phone:717-761-8688
Practice Address - Fax:717-761-5604
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2022-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD431322207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101893520Medicaid
PA101893520Medicaid