Individual
PHUONG KIM NGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
49 LAWN ST APT 1, CAMBRIDGE, MA 02138-4442
(781) 985-5450
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1185128
MA
363A00000X
Physician Assistant
Primary
PA8222
MA
Other
Enumeration date
06/15/2021
Last updated
12/20/2021
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