Michelle Hoang Phan, OD Valid NPI
Individual provider · Optometrist · Edison, NJ
- NPI
- 1912562034
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 27OA00698500 (NJ)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-05-03
- Last updated
- 2021-11-01
Practice location
34-36 Progress St Ste B4
Edison, NJ 08820-1197
(732) 515-4405