Individual provider · Type 1 NPI

Ba Hoang Nguyen Pham, MD

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1063999043 Active

Practice location

20 York St
New Haven, CT 06510-3220

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000X125073064 (IL)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063999043

Ba Hoang Nguyen Pham, MD's National Provider Identifier is 1063999043, issued on Jul 23, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on Jun 22, 2022.