Individual
DR. MICHAEL M PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 GRAND ST, 2W 105, JERSEY CITY, NJ 07302-4321
(201) 915-2405
Mailing address
100 COLUMBUS DR, APT 2403, JERSEY CITY, NJ 07302-5546
(917) 710-8454
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
60 238574
NY
Other
Enumeration date
04/24/2008
Last updated
06/22/2009
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