Provider Demographics
NPI:1265424956
Name:PHAM, ANH TUAN (MD)
Entity type:Individual
Prefix:DR
First Name:ANH
Middle Name:TUAN
Last Name:PHAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5848 WEST ATLANTIC AVE
Mailing Address - Street 2:SUITE 143
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408
Mailing Address - Country:US
Mailing Address - Phone:561-270-6950
Mailing Address - Fax:561-404-4028
Practice Address - Street 1:5848 WEST ATLANTIC AVE
Practice Address - Street 2:SUITE 143
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408
Practice Address - Country:US
Practice Address - Phone:561-270-6950
Practice Address - Fax:561-404-4028
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2024-09-05
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Provider Licenses
StateLicense IDTaxonomies
FLME147031207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME147031OtherSTATE LICENSE