MEDICARE: DR. HOP N TRINH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	80527	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457359903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOP N TRINH M.D.

Provider Business Mailing Address
First Line	:	21 REED ST
Second Line	:
City	:	MILTON
State	:	MA
Zip	:	02186-4415
Country	:	US
Telephone Number	:	617-822-3744
Fax Number	:	617-822-3744

Provider Business Practice Location Address
First Line	:	1 CHARLES ST
Second Line	:
City	:	DORCHESTER
State	:	MA
Zip	:	02122-1403
Country	:	US
Telephone Number	:	617-822-3744
Fax Number	:	617-822-3744

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	07/08/2007

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