Provider Demographics
NPI:1245207737
Name:HO, VINCENT TRIEN-VINH (MD)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:TRIEN-VINH
Last Name:HO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 SAWMILL BROOK PKWY
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459
Mailing Address - Country:US
Mailing Address - Phone:617-632-2774
Mailing Address - Fax:
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-632-5938
Practice Address - Fax:617-632-5168
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA205656207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
J24771OtherINDEMNITY BC ELECT HMO BL
14777OtherHPHC
205656OtherTUFTS
4799558OtherCIGNA
3025884OtherAETNA US HEALTHCARE
65543OtherFALLON COMMUNITY HEALTH P
3600192OtherUNITED HEALTH CARE
P00123679OtherRR MEDICARE DFCI
205656OtherTUFTS
14777OtherHPHC