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Organization
BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION INC
Active
Organization
BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARANI ASHLEY THAMMAVONGSA PA (PHYSICIAN ASSISTANT)
(860) 371-9906
Entity
Organization
Contact information
Practice address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 983-7000
Mailing address
62 13TH ST, CHARLESTOWN, MA 02129-2056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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