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Individual

DR. MINH TAM TRUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
830 HARRISON AVE, MOAKLEY BUILDING LL100, BOSTON, MA 02118
(617) 638-7070
(617) 638-7037
Mailing address
801 ALBANY STREET, FL G, BOSTON, MA 02119-3791

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
221093
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110039031A
MA
05
3084070
MA
Enumeration date
10/28/2005
Last updated
03/19/2021
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