Basic Information
Provider Information
NPI: 1629068796
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TRINH
FirstName: NHI HA
MiddleName: THUY
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 9142
Address2: MASS GENERAL PHYSICIAN ORGANIZATION
City: CHARLESTOWN
State: MA
PostalCode: 021299142
CountryCode: US
TelephoneNumber: 6177240287
FaxNumber: 6177262894
Practice Location
Address1: 55 FRUIT ST
Address2: WAC 812
City: BOSTON
State: MA
PostalCode: 021142621
CountryCode: US
TelephoneNumber: 6177262066
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/28/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X220057MAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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