Pham, Hau Trong

Pham, Hau Trong is an individual health care provider with primary practice located at 732 Harrison Ave Preston 5Th Floor, Boston MA 02118-2309. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Pham, Hau Trong can be contacted via phone (617) 414-6840.

Contact Information

Primary practice address
732 Harrison Ave Preston 5Th Floor Boston MA 02118-2309
Phone: (617) 414-6840
Fax: (617) 414-6710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2079 Massachusetts

Profile Details

NPI number 1558322024
LBN Legal business name Pham, Hau Trong
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Sep 28th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558322024 NPPES
Massachusetts Other 000540601 MEDICARE ID
Massachusetts MEDICAID 110013009A MEDICARE ID

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