Individual
MR. LOUIS DAC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP
Contact information
Practice address
30 PROSPECT AVE STE 2703, HACKENSACK, NJ 07601-1915
(551) 996-2419
Mailing address
30 PROSPECT AVE, STE 2703, HACKENSACK, NJ 07601-1915
(551) 996-2419
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ15298900
NJ
Other
Enumeration date
01/27/2025
Last updated
04/27/2026
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