Individual
DUY PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(614) 595-4207
Mailing address
34 TEMPLE CT, NEW HAVEN, CT 06511-6819
(614) 595-4207
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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