Individual
CANH TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1014 OSWEGATCHIE TRAIL RD, STAR LAKE, NY 13690-3143
(320) 493-6424
Mailing address
1014 OSWEGATCHIE TRAIL RD, STAR LAKE, NY 13690-3143
(315) 848-3351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.133937
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2015
Last updated
11/07/2023
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