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1902448475
LONG TRAN
BOSTON, MA
NPI
1902448475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MA PA7349)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2019-10-16
Last Update Date
2021-08-31
Business Address
LONG TRAN
830 HARRISON AVENUE MOAKLEY, SUITE 3400
BOSTON, MA 02118
Phone number: 617-414-8060
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Mailing Address
LONG TRAN
801 ALBANY STREET FL GROUND
BOSTON, MA 02119
Phone number:
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