Individual
AMEE PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
80 ERDMAN WAY STE 20, LEOMINSTER, MA 01453-1840
(978) 534-0230
(978) 534-3915
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-8105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
283620
MA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
283620
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2017
Last updated
06/14/2021
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