Individual
MS. THU MINH PHAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 LIBERTY ST, SUITE 403, SPRINGFIELD, MA 01103-1114
(413) 733-9955
(413) 733-1199
Mailing address
125 LIBERTY ST, SUITE 403, SPRINGFIELD, MA 01103-1114
(413) 733-9955
(413) 733-1199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA4041
MA
363AM0700X
Medical Physician Assistant
Primary
PA4041
MA
Other
Enumeration date
09/17/2010
Last updated
09/04/2015
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