Individual
DR. TUONGVI PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 BLAIR MILL RD, WILLOW GROVE, PA 19090-1751
(215) 659-2460
Mailing address
6111 N LAWRENCE ST, PHILADELPHIA, PA 19120-1431
(267) 334-5958
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002874
PA
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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