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Individual

ANTHONY T. PHAM

Active
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Individual

ANTHONY T. PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A87649
CA
208M00000X
Hospitalist Physician
Primary
A87649
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912919804
TYPE 2 NPI
CA
01
—
A87649
MEDICAL LICENSE
CA
Enumeration date
07/19/2006
Last updated
10/26/2020
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