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Individual

DR. HONI KAWUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D,C,

Contact information

Practice address
25 BRIDGE ST, BILLERICA, MA 01821-1023
(978) 667-1932
Mailing address
25 BRIDGE ST, BILLERICA, MA 01821-1023
(978) 667-1932

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1271
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
351052
HARVARD PILGRIM
MA
01
730544
TUFTS
MA
01
Y35920
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
11/06/2006
Last updated
05/05/2008
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