| Ton That Chieu | |
|
7505 New Hampshire Ave Ste 310 Takoma Park MD 20912-6972 | |
| (301) 445-4100 | |
| (301) 445-2167 |
| Full Name | Ton That Chieu |
|---|---|
| Speciality | Clinic/center |
| Location | 7505 New Hampshire Ave Ste 310, Takoma Park, Maryland |
| Authorized Official Name and Position | Ton That Chieu (EMPLOYER) |
| Authorized Official Contact | 3014454100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ton That Chieu 7505 New Hampshire Ave Ste 310 Takoma Park MD 20912-6972 Ph: (301) 445-4100 | Ton That Chieu 7505 New Hampshire Ave Ste 310 Takoma Park MD 20912-6972 Ph: (301) 445-4100 |
| NPI Number | 1992980577 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 01/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992980577 | NPI | - | NPPES |
| 4170 | Other | AETNA | |
| 81140 | Other | MD | MAMSI |
| 0680 | Other | MD | BLUE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | D23429 (Maryland) | Primary |
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