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1124496328
PADUNGKIAT TANGPIROONTHAM
BOSTON, MA
NPI
1124496328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MA 263127)
Enumeration Date
2015-09-04
Last Update Date
2015-09-12
Business Address
-- PADUNGKIAT TANGPIROONTHAM MD
75 FRANCIS ST
BOSTON, MA 02115-6110
Phone number: 617-732-7775
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Mailing Address
-- PADUNGKIAT TANGPIROONTHAM MD
1575 TREMONT ST
BOSTON, MA 02120-1677
Phone number: 617-671-5263
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