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Jason Pham

Registered Nurse in Watertown, MA. Individual provider (NPI-1).

NPI number1821903444
StatusActive
Last updated in NPPESAug 18, 2026

Details

NPI
1821903444
Entity type
Individual (NPI-1)
Name
Jason Pham
Sole proprietor
No
Enumeration date
Aug 18, 2026
Certification date
Aug 18, 2026
Last updated
Aug 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered NurseRN2387232MAYes

Practice location

485 Arsenal St
Watertown, MA 02472-5091

Phone 617-972-5100

Mailing address

485 Arsenal St
Watertown, MA 02472-5091

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