Individual
VIVIAN MAI-TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-1010
Mailing address
1000 10TH AVE # 4B25, NEW YORK, NY 10019-1147
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
62459
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2014
Last updated
06/28/2019
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