Provider Demographics
NPI:1891022976
Name:HOP TRINH, MD PC
Entity Type:Organization
Organization Name:HOP TRINH, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOP
Authorized Official - Middle Name:N
Authorized Official - Last Name:TRINH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-822-3744
Mailing Address - Street 1:1 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02122-1403
Mailing Address - Country:US
Mailing Address - Phone:617-822-3744
Mailing Address - Fax:617-822-3744
Practice Address - Street 1:1 CHARLES ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02122-1403
Practice Address - Country:US
Practice Address - Phone:617-822-3744
Practice Address - Fax:617-822-3744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA805272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3146740Medicaid
MAG10468Medicare UPIN