Individual ProviderPhi Vu BangPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address51 N 39th St, 4 Phi, Philadelphia, PA 19104-2640(215) 662-9189(215) 662-9018PECOS EnrollmentBased on the most recent information from CMS, provider Phi Vu Bang does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1922144732Provider TypeIndividualFull NameBang, Phi VuGenderFemaleSole ProprietorNoEnumeration Date1/29/2007Last Updated4/2/2009Contact InformationPractice LocationPractice Address51 N 39th St, 4 Phi, Philadelphia, PA 19104-2640Phone(215) 662-9189Fax(215) 243-4612Mailing LocationMailing Address51 N 39th St, 4 Phi, Philadelphia, PA 19104-2640Phone(215) 662-9018FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA053787PennsylvaniaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerTexas