License holder summary

PHAM TAN DIEM is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for PHAM TAN DIEM is REVERE MA. This doctor license is not current. The license was granted 06/30/1998.

New York

Office of the Professions

PHAM TAN DIEM
Medicine (Physician, Including M Ds & D Os)
License number
211011
Date granted
06/30/1998
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
REVERE MA
nymedicine.org
ID 30244674
LAST UPDATED 2024-04-15 07:16:00 UTC

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