| Mimi Pham Nguyen, | |
|
299 Carew St Ste 322, Springfield, MA 01104-2431 | |
| (508) 373-5607 | |
| Not Available |
| Full Name | Mimi Pham Nguyen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 299 Carew St Ste 322, Springfield, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508635012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA102162 (Massachusetts) | Primary |
| 207Q00000X | Family Medicine | PA102162 (Massachusetts) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mimi Pham Nguyen, 299 Carew St, Springfield, MA 01104-2301 Ph: () - | Mimi Pham Nguyen, 299 Carew St Ste 322, Springfield, MA 01104-2431 Ph: (508) 373-5607 |
Deborah Blume, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3455 Main Street, Springfield, MA 01199 Phone: 413-794-8777 | |
Linda Theriault, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Main St, 2nd Floor Suite A, Springfield, MA 01199 Phone: 413-794-7246 Fax: 413-794-0198 | |
Samantha Whalen Bouthillette, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Birnie Ave, Springfield, MA 01107 Phone: 413-785-4666 | |
Danielle Elisabeth Deserres, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Main Street, Springfield, MA 01107 Phone: 413-794-5600 Fax: 413-794-7297 | |
Alanna Servant, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Main St, Suite 4d, Springfield, MA 01107 Phone: 413-794-8336 Fax: 413-794-7345 | |
Tamer Bahgat, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Birnie Ave, Ste 201, Springfield, MA 01107 Phone: 413-785-4666 Fax: 413-846-4756 | |
Adam J Iwanski, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 516 Carew St, Springfield, MA 01104 Phone: 413-787-2027 Fax: 413-787-2012 |