Individual
PHUONG MY HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
72 E CONCORD ST # 2, BOSTON, MA 02118-2307
(617) 638-6100
Mailing address
720 HARRISON AVE # DOB503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2261878
MA
Other
Enumeration date
01/09/2015
Last updated
03/12/2019
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