Individual
NGAN PHUONG BAO TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
444 MONTGOMERY ST, CHICOPEE, MA 01020-1969
(413) 594-3111
Mailing address
505 GRATTAN ST, CHICOPEE, MA 01020-1548
(413) 363-8181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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