Kieu, Phong Nguyen

Kieu, Phong Nguyen is an individual health care provider with primary practice located at 123 Summer St Ste 320S , Worcester MA 01608-1216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Kieu, Phong Nguyen can be contacted via phone (508) 964-5580.

Contact Information

Primary practice address
123 Summer St Ste 320S Worcester MA 01608-1216
Phone: (508) 964-5580
Fax: (508) 368-3143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 254817 Massachusetts
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 254817 Massachusetts

Profile Details

NPI number 1447419601
LBN Legal business name Kieu, Phong Nguyen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2008
Last updated May 22nd, 2024 - about 4 months 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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