Individual
DR. THACH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 DUDLEY ST STE 470, PROVIDENCE, RI 02905-3248
(401) 553-8353
(401) 868-2308
Mailing address
LANDSTUHL REGIONAL MEDICAL CENTER, UNIT 33100, APO, AE 09180-3100
(314) 590-5096
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
16605
NH
208600000X
Surgery Physician
C145443
CA
208600000X
Surgery Physician
Primary
MD20757
RI
Other
Enumeration date
03/10/2008
Last updated
06/16/2025
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