Individual
LONG-CHAU THI VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
BAYSTATE MEDICAL CTR, 759 CHESTNUT STREET, SPRINGFIELD, MA 01199-0001
(413) 794-0000
Mailing address
BAYSTATE MEDICAL CTR, 759 CHESTNUT STREET, SPRINGFIELD, MA 01199-0001
(413) 794-0000
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
281237
MA
Other
Enumeration date
03/31/2015
Last updated
07/30/2020
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