Individual
TU-MAI D TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 HARRISON AVE # YACC5, BOSTON, MA 02118-4001
(617) 414-2080
(617) 414-2090
Mailing address
720 HARRISON AVE # DOB503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210560
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110007596A
—
MA
01
—
S400276757
MEDICARE
MA
Enumeration date
01/08/2007
Last updated
03/17/2018
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