Provider Demographics
NPI:1194082735
Name:VU, STEVEN MINH
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MINH
Last Name:VU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 PILGRIM RD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359-1940
Mailing Address - Country:US
Mailing Address - Phone:617-645-1151
Mailing Address - Fax:
Practice Address - Street 1:88 PILGRIM RD
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359-1940
Practice Address - Country:US
Practice Address - Phone:617-645-1151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program