Pham Medical Associates Pc

LBN: Pham Medical Associates Pc
Pham Medical Associates Pc is an health care organization with primary practice located at 1996 Centre St , West Roxbury MA 02132-3329. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Pham Medical Associates Pc can be contacted via phone (617) 469-0470, or through Pham, Dominique via phone (800) 927-0002.

Contact Information

Primary practice address
1996 Centre St West Roxbury MA 02132-3329
Phone: (617) 469-0470
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pham, Dominique Doctor of Medicine (MD)
Phone: (800) 927-0002

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Massachusetts

Profile Details

NPI number 1316924863
LBN Legal business name Pham Medical Associates Pc
DBA Doing business as
Authorized official Pham, Dominique Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2005
Last updated Jan 14th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316924863 NPPES
Massachusetts MEDICAID 9733710

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