Individual
HUY TUAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
55 PARSONAGE RD UNIT 501, EDISON, NJ 08837-2495
(732) 548-7337
Mailing address
5508 MANSION BLVD, PENNSAUKEN, NJ 08109-1152
(856) 486-0166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00625700
NJ
Other
Enumeration date
07/25/2010
Last updated
07/25/2010
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