Provider Demographics
NPI:1558193334
Name:HOANG, PHUONG (PA)
Entity type:Individual
Prefix:
First Name:PHUONG
Middle Name:
Last Name:HOANG
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 HEALY RD
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-1411
Mailing Address - Country:US
Mailing Address - Phone:617-586-5564
Mailing Address - Fax:
Practice Address - Street 1:60 HEALY RD
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-1411
Practice Address - Country:US
Practice Address - Phone:617-586-5564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant