Truong, Minh Tam

Truong, Minh Tam is an individual health care provider with primary practice located at 830 Harrison Ave Moakley Building Ll100, Boston MA 02118. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Truong, Minh Tam can be contacted via phone (617) 638-7070.

Contact Information

Primary practice address
830 Harrison Ave Moakley Building Ll100 Boston MA 02118
Phone: (617) 638-7070
Fax: (617) 638-7037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 221093 Massachusetts

Profile Details

NPI number 1316937436
LBN Legal business name Truong, Minh Tam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Mar 19th, 2021 - about 5 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 1316937436 NPPES
Massachusetts MEDICAID 3084070
Massachusetts MEDICAID 110039031A

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