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Jennifer Thuy Ho Phung, MD
Specialist in Stockton, California
NPI 1114180999

Jennifer Thuy Ho Phung is a Specialist based in Modesto, CA. Jennifer Thuy Ho Phung practices in Stockton, CA and has the professional credentials of MD. The NPI Number for Jennifer Thuy Ho Phung is 1114180999 and holds a License No. A107567 (California).

The current practice location address for Jennifer Thuy Ho Phung is 2545 W Hammer Ln, Stockton, CA and can be reached out via phone at 209-957-7050. You can also correspond with Jennifer Thuy Ho Phung through the mailing address at 600 COFFEE RD, MODESTO, CA - 95355-4201 (mailing address contact number: 209-521-6097).

Location: 2545 W Hammer Ln, Stockton, CA, 95355-4201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114180999
Provider Name
Jennifer Thuy Ho Phung
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2545 W Hammer Ln, Stockton, CA, 95355-4201
Phone Number
209-957-7050
Fax Number
Provider Enumeration Date
07/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
68-0277719 01 CA GROUP TAX ID
00A1075670 05 CA
1386636165 01 CA GROUP NPI
institution
Provider Business Practice Location Address Details
Address
2545 W Hammer Ln
City
Stockton
State
California
Zip
95209-2839
Phone Number
209-957-7050
Fax Number
person
Provider Business Mailing Address Details
Address
2545 W Hammer Ln
City
Stockton
State
California
Zip
95209-2839
Phone Number
209-957-7050
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A107567 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
A107567 (California)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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