PHUONG PHAN

CHARLESTOWN, MA
NPI1033466040
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MA  RN2272283)
Enumeration Date2012-08-08
Last Update Date2012-08-08
Business Address
-- PHUONG PHAN FNP-BC
529 MAIN ST SUITE 216
CHARLESTOWN, MA 02129-1125
Phone number: 617-895-6488
Mailing Address
-- PHUONG PHAN FNP-BC
176 CHARGER ST
REVERE, MA 02151-2003
Phone number: 617-938-7847