Individual
PETER PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
29 SILVER BROOK DR, BRIDGETON, NJ 08302-9407
(609) 805-6036
Mailing address
29 SILVER BROOK DR, BRIDGETON, NJ 08302-9407
(609) 805-6036
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
25MB09210600
NJ
Other
Enumeration date
06/22/2011
Last updated
10/10/2013
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