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Individual

DR. BA HOANG NGUYEN PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125073064
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/23/2018
Last updated
06/22/2022
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