Provider Demographics
NPI:1134530447
Name:CAI, THIEN VAN V
Entity type:Individual
Prefix:
First Name:THIEN VAN
Middle Name:V
Last Name:CAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 417379
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-7379
Mailing Address - Country:US
Mailing Address - Phone:781-280-1500
Mailing Address - Fax:781-276-6410
Practice Address - Street 1:114 WHITWELL ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-1870
Practice Address - Country:US
Practice Address - Phone:781-280-1500
Practice Address - Fax:781-276-6410
Is Sole Proprietor?:No
Enumeration Date:2014-05-09
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant