Individual
ANTHONY VU MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 BURLINGTON RD, BEDFORD, MA 01730-1406
(781) 761-5224
Mailing address
205 BURLINGTON RD, BEDFORD, MA 01730-1406
(781) 761-5224
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
1004745
NHP
MA
01
—
13003287
MBHP
MA
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
Enumeration date
11/10/2021
Last updated
11/17/2021
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