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NPI Code Detail

MEDICARE: ANH PHAN

MEDICARE: ANH PHAN
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
1103K00000XBehavior Analyst3420MA

General Provider Information

NPI Number : 1851972038
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANH PHAN
Provider Business Mailing Address
First Line : 60 SHARP ST STE 2
Second Line :
City : HINGHAM
State : MA
Zip : 02043-4334
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 60 SHARP ST STE 2
Second Line :
City : HINGHAM
State : MA
Zip : 02043-4334
Country : US
Telephone Number : 845-267-0920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2021
Last Update Date : 04/19/2021

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Directions to “ ANH PHAN ” Practice Location

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