Individual
BEN QUOC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6795
(207) 623-8411
Mailing address
1 VA CTR, AUGUSTA, ME 04330-6795
(207) 623-8411
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1124
ME
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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