Individual
TERESIA T PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26 CITY HALL MALL, MEDFORD, MA 02155-4754
(781) 306-5100
Mailing address
26 CITY HALL MALL, MEDFORD, MA 02155-4754
(781) 306-5100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1013820
MA
Other
Enumeration date
05/18/2016
Last updated
05/22/2023
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