Individual provider · Type 1 NPI

Loan T. Phan, PA-C

Medical Physician Assistant · Boston, MA

NPI number 1851595516 Active

Practice location

150 S Huntington Ave Fl 6
Boston, MA 02130-4817

Call (857) 364-4327 Map

Mailing address

150 S Huntington Ave Fl 2
Boston, MA 02130-4817

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA1224 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1851595516

Loan T. Phan, PA-C's National Provider Identifier is 1851595516, issued on Jun 14, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on May 17, 2023.