Thai, An Ngoc
Thai, An Ngoc is an sole proprietor health care provider with primary practice located at 1443B Dorchester Ave , Dorchester MA 02122-1347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thai, An Ngoc can be contacted via phone (617) 265-0955.Contact Information
Primary practice address
1443B Dorchester Ave
Dorchester MA 02122-1347
Phone: (617) 265-0955
Fax: (617) 265-0086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 50544 | Massachusetts |
Profile Details
| NPI number | 1730238270 |
|---|---|
| LBN Legal business name | Thai, An Ngoc |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730238270 | NPPES |
| Massachusetts | MEDICAID | 6181287 |
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