Pham Medical Associates Pc

NPI 1316924863 - Internal Medicine - 207R00000X

NPI Details
NPI 1316924863
Enumeration Date 12/27/2005
Last Updated 01/14/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DOMINIQUE DOMINIQUE
Position PRESIDENT
Phone (617) 469-0470
Fax
Practice Location
1996 CENTRE ST
WEST ROXBURY MA, 02132-3329, US
Phone (617) 469-0470
Fax
Business Location
PO BOX 9137
BROOKLINE MA, 02446-9137, US
Phone (800) 927-0002
Fax
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Pham Medical Associates Pc NPI is 1316924863, taxonomy code is 207R00000X Pham Medical Associates Pc physically located at 1996 Centre St, West Roxbury MA, 02132-3329. NPI Number 1033115704 has the healthcare provider type.

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1316924863 NPI number is provided on an as is basis without warranty of any kind. 1316924863 is maintained by the National Plan & Provider Enumeration System. The contents of Pham Medical Associates Pc are for informational purposes only.