Dominique Pham, MD

NPI #1891776662 in West Roxbury, Massachusetts

Provider Information

NPI Number: 1891776662
Entity Type: Individual
Name: Dominique Pham, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Nov 9, 2005
Last Updated: Jan 14, 2010

Practice Location

Address: 1996 CENTRE ST
City: West Roxbury
State: Massachusetts
ZIP Code: 02132-3329
Phone: (617) 469-0470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Internal Medicine - Gastroenterology — Gastroenterology	207RG0100X

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