Individual
DR. ANTHONY PHAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
199 REEDSDALE RD, MILTON, MA 02186-3926
(617) 313-1480
(617) 313-1479
Mailing address
9 WALTER SEYFERT WAY, RANDOLPH, MA 02368-1868
(617) 642-6229
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
1014426
MA
2084N0400X
Neurology Physician
1014426
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S88291395
MASSACHUSETTS LICENSE NUMBER
MA
Enumeration date
04/29/2019
Last updated
07/09/2024
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