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Organization
TRUNG HOA PHAM, MD, LLC
Active
Organization
TRUNG HOA PHAM, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRUNG HOA PHAM M.D. (PRESIDENT)
(443) 604-8928
Entity
Organization
Contact information
Practice address
5415 OLD COURT RD STE 102, RANDALLSTOWN, MD 21133-5103
(410) 701-4600
(410) 701-4481
Mailing address
6509 EARLY LILY ROW, COLUMBIA, MD 21044-6057
(410) 701-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0047704
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
484802100
—
MD
Enumeration date
02/27/2007
Last updated
04/13/2011
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