DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MAI TRUC PHAN, MD

Active

Family Medicine · BOSTON, MA

Registration Details

NPI Number
1255321998
Provider Type
Individual
Gender
Female
NPI Issued
Oct 25, 2005 (20.490415818933 yrs)
Last Updated
Nov 26, 2012
License
153182 (MA)

Practice Information

Address
388 COMMONWELATH AVE MBB
MGH BACK BAY
BOSTON, MA, 022152800
Browse MA providers · Browse ZIP 02215
Phone
6172677171
Fax
6172622608
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in BOSTON, MA

Name Credential NPI
DR. THOMAS PETER FANTES MD 1972500429
MARCELO CAVALCANTE CAMPOS MD 1790770121
DR. RENEE M CRICHLOW MD 1396731832
DR. DAVID BUCKLE MD 1013905108
DR. ELIZABETH ANNE TURNOCK MD 1760463954
SUZANNE E MITCHELL MD 1508840414
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.