Individual
DR. GIAO QUYNHTHI PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8040
(606) 792-1008
(860) 679-4815
Mailing address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8040
(606) 792-1008
(860) 679-4815
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101255590
VA
208600000X
Surgery Physician
Primary
074215
CT
Other
Enumeration date
04/23/2007
Last updated
09/23/2024
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