Individual
JOHNNY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4316
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4316
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
309021-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
06/26/2017
Last updated
08/09/2022
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