Healthcare Provider Details

I. General information

NPI: 1023548161
Provider Name (Legal Business Name): HUNG NHAT PHAM DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2017
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BOWMAN DR LOWR LEVEL1
VOORHEES NJ
08043-9612
US

IV. Provider business mailing address

100 BOWMAN DR
VOORHEES NJ
08043-9612
US

V. Phone/Fax

Practice location:
  • Phone: 856-247-3000
  • Fax: 856-247-2597
Mailing address:
  • Phone: 856-247-3000
  • Fax: 856-247-2597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MB12702800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: