Individual
JUDY U. PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801
(410) 543-7536
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002525
MD
363A00000X
Physician Assistant
PA030319
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145724700
DEDERAL WORKMAN'S COMPENSATION DEPT. OF LABOR
—
01
—
1891771085
NPI 1891771085
MD
01
—
251143
KAISER
—
Enumeration date
12/20/2005
Last updated
09/07/2018
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