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1457635252
THANISSARA CHANSAKUL
CAMBRIDGE, MA
NPI
1457635252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MA 247991)
Enumeration Date
2011-09-28
Last Update Date
2011-09-28
Business Address
Dr. THANISSARA CHANSAKUL M.D.
330 MOUNT AUBURN ST DEPARTMENT OF MEDICINE
CAMBRIDGE, MA 02138-5502
Phone number: 267-421-9774
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Mailing Address
Dr. THANISSARA CHANSAKUL M.D.
20 CAMERON ST UNIT 303
BROOKLINE, MA 02445-7647
Phone number: 267-421-9774
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