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Dr. Tu Thanh Pham, MD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1649910027

Tu Thanh Pham is a Student in an Organized Health Care Education/Training Program based in Riverhead, NY. Tu Thanh Pham practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Tu Thanh Pham is 1649910027 and holds a License No. (New York).

The current practice location address for Tu Thanh Pham is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-689-8333.

Location: 101 Nicolls Rd, Stony Brook, NY, 11901-2031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649910027
Provider Name
Tu Thanh Pham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 Nicolls Rd, Stony Brook, NY, 11901-2031
Phone Number
631-689-8333
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-2031
Phone Number
631-689-8333
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-2031
Phone Number
631-689-8333
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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