Individual
DR. TAI H TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(508) 922-3000
Mailing address
6 BARTLETT ST, MARBLEHEAD, MA 01945-2720
(781) 631-2906
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
73291
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3067220
—
MA
Enumeration date
08/05/2006
Last updated
07/08/2007
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