Individual
CALVIN THAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
185 PILGRIM RD, BOSTON, MA 02215-5324
(617) 667-7000
Mailing address
452 HANOVER ST, HANOVER, MA 02339-2217
(781) 888-0196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2300087
MA
363L00000X
Nurse Practitioner
Primary
RN2300087
MA
Other
Enumeration date
10/03/2022
Last updated
12/13/2022
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