Basic Information
| Provider Information | |||||||||
| NPI: | 1588674386 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DINH | ||||||||
| FirstName: | TUAN | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | |||||||||
| OtherFirstName: | |||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | |||||||||
| Mailing Information | |||||||||
| Address1: | 3 COOPER PLZ | ||||||||
| Address2: | SUITE 502 | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8569636888 | ||||||||
| FaxNumber: | 8569688499 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 COOPER PLZ | ||||||||
| Address2: | DORRANCE BLG,SUITE 623 | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563422491 | ||||||||
| FaxNumber: | 8563427023 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2006 | ||||||||
| LastUpdateDate: | 04/22/2016 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | |||||||||
| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | M | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VM0101X | MA62654 | NJ | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Maternal & Fetal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 515767 | 01 | NJ | AETNA | OTHER | CA0000162 | 01 | NJ | AMERICHOICE | OTHER | 1044492 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 160059870 | 01 | NJ | RR MEDICARE | OTHER | P1892864 | 01 | NJ | OXFORD | OTHER | 1839515 | 01 | NJ | UNITED HEALTHCARE | OTHER | 2051694 | 01 | NJ | AETNA | OTHER | 787915 | 01 | NJ | AMERIHEALTH PPO/PABS | OTHER | 0812782000 | 01 | NJ | AMERIHEALTH/KEYSTONE/IBC | OTHER | 1069739 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 3K6172 | 01 | NJ | HEALTHNET | OTHER | 25416 | 01 | NJ | UNIVERSITY HEALTH PLAN | OTHER | 6732101 | 05 | NJ | MEDICAID | 4329405 | 01 | NJ | CIGNA | OTHER |