Individual
PHONG TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 HELEN ST, SECAUCUS, NJ 07094-2010
(201) 686-5914
Mailing address
25 HELEN ST, SECAUCUS, NJ 07094-2010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16487200
NJ
163W00000X
Registered Nurse
Primary
670860
NY
Other
Enumeration date
08/30/2015
Last updated
08/30/2015
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