Nguyen, Nicolas S.

Nguyen, Nicolas S. is an individual health care provider with primary practice located at 195 Canal St , Malden MA 02148-6701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nguyen, Nicolas S. can be contacted via phone (781) 338-0500.

Contact Information

Primary practice address
195 Canal St Malden MA 02148-6701
Phone: (781) 338-0500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 242990 Massachusetts

Profile Details

NPI number 1588856926
LBN Legal business name Nguyen, Nicolas S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2007
Last updated Feb 16th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588856926 NPPES
Massachusetts MEDICAID 110085578

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