Provider Demographics
NPI:1487344230
Name:TRANG, TRUC
Entity type:Individual
Prefix:
First Name:TRUC
Middle Name:
Last Name:TRANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMI
Other - Middle Name:
Other - Last Name:TRANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2013 OAK LODGE RD
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4741
Mailing Address - Country:US
Mailing Address - Phone:410-501-9800
Mailing Address - Fax:
Practice Address - Street 1:275 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1101
Practice Address - Country:US
Practice Address - Phone:929-476-0448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant