Individual
MR. PHUC T TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
930 COMMONWEALTH AVE, BOSTON, MA 02215-1274
(617) 414-6800
Mailing address
801 ALBANY ST FL GROUND, BOSTON, MA 02119-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2273107
MA
Other
Enumeration date
09/02/2015
Last updated
12/21/2020
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