Individual
THETSU MON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-2925
Mailing address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2010017242
MO
Other
Enumeration date
07/08/2010
Last updated
06/13/2014
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