Individual
DR. MICHELLE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
635 W 165TH ST, OPHTHALMOLOGY DEPARTMENT, NEW YORK, NY 10032-3724
(212) 305-1400
Mailing address
1105 WASHINGTON ST, HOBOKEN, NJ 07030-5382
(609) 405-2604
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
261118
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2008
Last updated
07/26/2011
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