Healthcare Provider Details

I. General information

NPI: 1659010957
Provider Name (Legal Business Name): TUYEN NGOC TRAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2022
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS ST
BOSTON MA
02115-6110
US

IV. Provider business mailing address

50 STANIFORD ST STE 430
BOSTON MA
02114-2541
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-4400
  • Fax:
Mailing address:
  • Phone: 617-726-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number11022081A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number1027056
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS21799
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: