Individual
CHARLOTTE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
1501 WHITE PINE DRIVE, DURHAM, NY 24405-2896
(917) 853-5977
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0102206601
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
63665
CT
Other
Enumeration date
05/29/2015
Last updated
04/21/2022
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