Individual
PHILIP TAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-4538
Mailing address
1861 MIDDLESEX ST APT 301, LOWELL, MA 01851-1134
(617) 386-9554
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
92183
MA
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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