Individual
DR. DUC BA PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
830 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-8124
Mailing address
830 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-8124
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD100221
MA
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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