Individual
BICH N PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 HIGHWAY 37, TOMS RIVER, NJ 08755-6423
(732) 240-8000
Mailing address
2210 LONGEST DR, TOMS RIVER, NJ 08755-1411
(732) 557-8141
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
25MA04414300
NJ
207ZH0000X
Hematology (Pathology) Physician
25MA04414300
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MA44143
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0298919000
AMERIHEALTH
—
01
—
220018738
RRM
—
05
—
4017005
—
NJ
01
—
P7477742
OXFORD
—
Enumeration date
05/12/2006
Last updated
07/01/2010
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