OrganizationActive
Phuong H DO
NPI 1376643353 · Point of Service · Philadelphia, PA
Provider details
- NPI number
- 1376643353
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Trissie Nguyen, Pharmacy Manager(215) 755-5100
- License
- PP481360 (PA)
Specialties & taxonomies
Managed Care Organizations
Practice location
600 Washington Ave
Unit# 18e
Philadelphia, PA 19147-4836
Phone: (215) 755-5100
Fax: (215) 755-1055
Approximate (ZIP-level) locationGet directions
Mailing address
600 Washington Ave
Philadelphia, PA 19147-4836
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2009-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.