Individual
PHI VU BANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 N 39TH ST, 4 PHI, PHILADELPHIA, PA 19104-2640
(215) 662-9189
(215) 243-4612
Mailing address
51 N 39TH ST, 4 PHI, PHILADELPHIA, PA 19104-2640
(215) 662-9018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
TX
363AM0700X
Medical Physician Assistant
Primary
MA053787
PA
Other
Enumeration date
01/29/2007
Last updated
04/02/2009
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