Individual
TRI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-3812
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-3812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023018683
MO
207RI0200X
Infectious Disease Physician
Primary
3019919
MA
Other
Enumeration date
06/19/2023
Last updated
03/02/2026
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