Individual
SOMPHIT CHINKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
850 HARRISON AVE, 5TH FL, BOSTON, MA 02118
(617) 414-2000
(617) 414-5798
Mailing address
960 MASS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN200952
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110015825A
—
MA
Enumeration date
12/19/2005
Last updated
05/08/2023
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