Provider / Organization | NPI | Date Certified |
---|---|---|
PATCHARAPON THAMMATHORN | 1942931241 | 2022-06-19 |
Patcharapon Thammathorn is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942931241. Registration indicates Patcharapon Thammathorn is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Patcharapon Thammathorn |
Other Provider Name | Looknoo Thammathorn |
Practice Office Address | 53 PARKER HILL AVE BOSTON, MA US |
Practice Office Telephone | 6172328390 |
Mailing Address | 53 PARKER HILL AVE BOSTON, MA 021203225 US |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |