Provider Demographics
NPI:1972615425
Name:PHAM, KIM-THU CHRISTINE (MD,MPH)
Entity Type:Individual
Prefix:DR
First Name:KIM-THU
Middle Name:CHRISTINE
Last Name:PHAM
Suffix:
Gender:F
Credentials:MD,MPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:950 CAMPBELL AVE
Mailing Address - Street 2:WEST HAVEN VA
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-2770
Mailing Address - Country:US
Mailing Address - Phone:203-932-5711
Mailing Address - Fax:203-937-3428
Practice Address - Street 1:950 CAMPBELL AVE
Practice Address - Street 2:WEST HAVEN VA
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-2770
Practice Address - Country:US
Practice Address - Phone:203-932-5711
Practice Address - Fax:203-937-3428
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT041267207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine