Individual
DANG TUAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2625 HARLEM RD, SUITE 160, BUFFALO, NY 14225-4031
(716) 893-0333
(716) 893-3038
Mailing address
2625 HARLEM RD, SUITE 160, BUFFALO, NY 14225-4031
(716) 893-0333
(716) 893-3038
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
251073-1
NY
208600000X
Surgery Physician
39502
KY
208600000X
Surgery Physician
4301080957
MI
Other
Enumeration date
05/30/2006
Last updated
07/21/2014
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