Individual
CONG THANH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 OXFORD DR STE 300, MONROEVILLE, PA 15146-2357
(412) 683-5300
(412) 349-8655
Mailing address
300 OXFORD DR STE 300, MONROEVILLE, PA 15146-2357
(412) 683-5300
(412) 349-8655
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
V0115
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
36460
WV
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD493792
PA
Other
Enumeration date
03/27/2020
Last updated
05/05/2026
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