Individual
THAI Q VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
725 ALBANY ST, BOSTON, MA 02118-2526
(617) 638-8992
(617) 638-8979
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1767
MA
Other
Enumeration date
04/19/2007
Last updated
02/04/2015
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