Healthcare Provider Details

I. General information

NPI: 1902862451
Provider Name (Legal Business Name): FRANCINE TON NGHIEM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MOUNT AUBURN ST STE 410
CAMBRIDGE MA
02138-5600
US

IV. Provider business mailing address

1 ARSENAL MARKET PL
WATERTOWN MA
02472-5018
US

V. Phone/Fax

Practice location:
  • Phone: 617-868-2650
  • Fax: 617-868-2641
Mailing address:
  • Phone: 617-673-1851
  • Fax: 617-499-5579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number159803
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: