Organization
DR PETER T PHAM & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER PHAM (OWNER)
(850) 384-1554
Entity
Organization
Contact information
Practice address
8300 SUDLEY RD STE I6, MANASSAS, VA 20109-3458
(703) 257-7580
(703) 257-1455
Mailing address
8300 SUDLEY RD, STE I-6, MANASSAS, VA 20109-3458
(703) 257-7580
(703) 257-1455
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002204
VA
Other
Enumeration date
03/12/2014
Last updated
05/06/2015
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