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Organization

TAMMY V PHAM, M.D., APC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBYN ROSARIO (MANAGER)
(619) 334-9936
Entity
Organization

Contact information

Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 334-9936
Mailing address
14396 GARDEN TRL, SAN DIEGO, CA 92127-3613
(619) 334-9936

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary

Other

Enumeration date
08/04/2020
Last updated
08/04/2020
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