Individual
HONG DUYEN T PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-8137
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN2266551
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2266551
MA
Other
Enumeration date
05/09/2018
Last updated
04/30/2021
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