Individual
MR. TONY V PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSCGH
Contact information
Practice address
1 BOWDOIN SQ FL 6, BOSTON, MA 02114-2927
(617) 726-8895
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
288546
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2015
Last updated
09/20/2021
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