Individual
DR. PHU T PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7440 SPRING VILLAGE DR, SPRINGFIELD, VA 22150-4446
(703) 923-4644
(703) 923-4625
Mailing address
5525 RESEARCH PARK DR, 4TH FLOOR, BALTIMORE, MD 21228-4873
(703) 923-4644
(703) 923-4625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101043884
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010284121
—
VA
Enumeration date
11/18/2005
Last updated
05/06/2015
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