Doctor Name: | CHI BINH TRAN |
NPI Number: | 1962566190 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 52099 |
Business Practice Address: | 50 Maverick Sq East Boston, MA - 021282337 |
Business Phone Number: | 6175611130 |
Business Fax Number: | |
Mailing Address: | 50 Maverick Sq, EAST BOSTON |
State: | MA |
Postal Code: | 021282337 |
Phone Number: | 6175611130 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 52099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |