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Individual
DR. ANTHONY PHAN TRAN
Active
Individual
DR. ANTHONY PHAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
1014426
MA
2084N0400X
Neurology Physician
1014426
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S88291395
MASSACHUSETTS LICENSE NUMBER
MA
Enumeration date
04/29/2019
Last updated
07/09/2024
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