Individual
ANDY DUY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
73 CARUSO ST, REVERE, MA 02151-2811
(617) 777-4001
Mailing address
73 CARUSO ST, REVERE, MA 02151-2811
(617) 777-4001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9427
MA
Other
Enumeration date
07/05/2022
Last updated
07/14/2023
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