Individual
SOPHIA K PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(931) 247-1624
Mailing address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(931) 247-1624
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
4358
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2017
Last updated
05/27/2021
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