Individual
KRYSTAL PHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WASHINGTON ST STE 298, BOSTON, MA 02111-1552
(617) 636-6208
Mailing address
800 WASHINGTON ST STE 298, BOSTON, MA 02111-1552
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3018932
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2025
Last updated
06/03/2025
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