Individual
ANDREW PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
139 SYCAMORE LN APT A, MANCHESTER, CT 06040-6239
(413) 654-2186
Mailing address
139 SYCAMORE LN APT A, MANCHESTER, CT 06040-6239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2385059
MA
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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