Individual
ALLEN VU PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Mailing address
1616 PINE ST APT A2, PHILADELPHIA, PA 19103-2516
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD471372
PA
Other
Enumeration date
06/12/2018
Last updated
02/01/2023
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