Individual
CANH VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 979-3310
(781) 979-3326
Mailing address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 979-3310
(781) 979-3326
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
221399
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2067960
—
MA
Enumeration date
03/15/2006
Last updated
03/10/2014
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