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Individual
DR. PAMELA S UDOMPRASERT
Active
Individual
DR. PAMELA S UDOMPRASERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
042-0012099
VT
208000000X
Pediatrics Physician
045967
CT
208000000X
Pediatrics Physician
Primary
16930
NH
Other
Enumeration date
10/03/2007
Last updated
01/27/2022
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