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1255321998
MAI TRUC PHAN
BOSTON, MA
NPI
1255321998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MA 153182)
Enumeration Date
2005-10-25
Last Update Date
2012-11-26
Business Address
Dr. MAI TRUC PHAN MD
388 COMMONWELATH AVE MBB MGH BACK BAY
BOSTON, MA 02215-2800
Phone number: 617-267-7171
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Mailing Address
Dr. MAI TRUC PHAN MD
PO BOX 9142 MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN, MA 02129-9142
Phone number: 617-267-7171
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