Baotram Ngoc Luu, PA-C, MPAS
NPI #1194130328 in Upland, Pennsylvania
Provider Information
- NPI Number
- 1194130328
- Entity Type
- Individual
- Name
- Baotram Ngoc Luu, PA-C, MPAS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C, MPAS
- Enumeration Date
- Jun 26, 2014
- Last Updated
- Jul 1, 2014
Practice Location
- Address
- ONE MEDICAL CENTER BLVD
- Address 2
- SUITE 404
- City
- Upland
- State
- Pennsylvania
- ZIP Code
- 19013
- Phone
- (610) 619-8590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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