NPI 1063303840

Duc Ba Phan, AUD

Practitioner Audiologist Boston, MA

Practice location

Address: 830 Harrison Ave, Boston, MA 02118-2905
Phone: (617) 638-8124

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence AUD100221 (MA)

Other Audiologist providers in Massachusetts →

Registry record

NPI: 1063303840
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2025
Record last updated: 10 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.