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Anthony Phan Tran
Student in an Organized Health Care Education/Training Program in Cambridge, Massachusetts
NPI 1730743394

Anthony Phan Tran is a Student in an Organized Health Care Education/Training Program based in Randolph, MA. Anthony Phan Tran practices in Cambridge, MA. The NPI Number for Anthony Phan Tran is 1730743394 and holds a License No. 100851479 (Massachusetts).

The current practice location address for Anthony Phan Tran is 330 Mount Auburn St, Cambridge, MA and can be reached out via phone at 617-492-3500.

Location: 330 Mount Auburn St, Cambridge, MA, 02368-1868
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730743394
Provider Name
Anthony Phan Tran
Credential
Provider Entity Type
Individual
Gender
Male
Address
330 Mount Auburn St, Cambridge, MA, 02368-1868
Phone Number
617-492-3500
Fax Number
Provider Enumeration Date
04/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
S88291395 01 MA MASSACHUSETTS LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
330 Mount Auburn St
City
Cambridge
State
Massachusetts
Zip
02138-5597
Phone Number
617-492-3500
Fax Number
person
Provider Business Mailing Address Details
Address
330 Mount Auburn St
City
Cambridge
State
Massachusetts
Zip
02138-5597
Phone Number
617-492-3500
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.
100851479 (Massachusetts)
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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