Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andy Duy Pham, PA

Individual provider Physician Assistant · NPI 1790418044

Andy Duy Pham, PA is a Physician Assistant in Revere, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2022.

Licensed in
MA
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

73 Caruso St
Revere, MA 02151-2811
Phone: (617) 777-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9427 (MA)

Record details

NPI number1790418044
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 5, 2022
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023

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