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Dr. Thomas S Pham, MD

Dermatology in Cape Coral, FL. Individual provider (NPI-1).

NPI number1790776995
StatusActive
Last updated in NPPESJun 22, 2015

Details

NPI
1790776995
Entity type
Individual (NPI-1)
Name
Dr. Thomas S Pham
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 4, 2005
Last updated
Jun 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X DermatologyME118627FLYes
207N00000X Dermatology4301069802MI

Practice location

2489 Diplomat Pkwy E
Cape Coral, FL 33909-5422

Phone 239-652-1800 · Fax 248-655-0372

Mailing address

2489 Diplomat Pkwy E
Cape Coral, FL 33909-5422

Phone 239-652-1800 · Fax 248-655-0372

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