Individual
HOANG NGUYEN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4326 EVERGREEN LANE, SUITE A, ANNANDALE, VA 22003
(703) 941-6944
(703) 941-6311
Mailing address
4326 EVERGREEN LANE, SUITE A, ANNANDALE, VA 22003
(703) 941-6944
(703) 941-6311
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
0101043617
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268981
—
VA
Enumeration date
10/03/2006
Last updated
07/08/2007
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