Individual
DR. BICH-THUY THI SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PARKINSON PAVILLION, 8TH FLOOR, PHILADELPHIA, PA 19140-5103
(215) 363-3115
Mailing address
1125 N MAIN ST, IMMUNOLOGY CLINIC, PROVIDENCE, RI 02904-5739
(401) 793-2928
(401) 793-7401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD13406
RI
207R00000X
Internal Medicine Physician
MT190978
PA
207RI0200X
Infectious Disease Physician
MD13406
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMD13406
RI STATE MEDICAL BOARD
RI
01
—
MD13406
RI STATE MEDICAL BOARD
RI
01
—
MT190978
PENNSYLVANIA MEDICAL TRAINING LICENSE
PA
Enumeration date
06/26/2008
Last updated
06/04/2012
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