Most Relevant Information
Provider Data
| NPI Number: | 1003077074 |
| Provider Name: | LY THIEN NGO M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2084N0400X |
| Specialty: | Psychiatry & Neurology |
| License Number: | MD445016 |
Most Important Dates
| Enumeration Date: | 06/22/2008 |
| Last Updated: | 12/15/2014 |
Provider Practice Location
909 WALNUT STREET
2ND FLOOR
PHILADELPHIA
PA
191075509
Practice Location Phone/Fax
| Phone: | 2159551234 |
| Fax: | 2159236792 |
Provider Mailing Location
909 WALNUT STREET
2ND FLOOR
PHILADELPHIA
PA
191075509
Provider Mailing Phone/Fax
| Phone: | 2159551234 |
| Fax: | 2159236792 |
Suggested EMR
Neurology EMR