Individual
THY T PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2 CAPITAL WAY STE 407, PENNINGTON, NJ 08534-2521
(609) 303-4460
(609) 303-4461
Mailing address
2 CAPITAL WAY STE 407, PENNINGTON, NJ 08534-2521
(609) 303-4460
(609) 303-4461
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NJ
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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