| Ngoc An Phan, Pc | |
|
909 S. 11th Street Philadelphia PA 19147-3701 | |
| (215) 923-6080 | |
| (215) 923-2082 |
| Full Name | Ngoc An Phan, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 909 S. 11th Street, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Ngoc An Phan (PRESIDENT) |
| Authorized Official Contact | 2159236080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ngoc An Phan, Pc 909 S. 11th Street Philadelphia PA 19147-3701 Ph: (215) 923-6080 | Ngoc An Phan, Pc 909 S. 11th Street Philadelphia PA 19147-3701 Ph: (215) 923-6080 |
| NPI Number | 1205058781 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 06/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205058781 | NPI | - | NPPES |
| 09000171 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD039037L (Pennsylvania) | Primary |
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