Individual
ANGELA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
450 S EASTON RD, GLENSIDE, PA 19038-3215
(215) 572-2900
Mailing address
4305 W WHEATLAND RD STE 101, DALLAS, TX 75237-3455
(972) 708-9494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
12/01/2023
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