Individual
UY DINH DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 740-2323
Mailing address
27 PROSPECT AVE, RANDOLPH, MA 02368-4948
(617) 763-1833
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2270237
MA
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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