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Individual

PAMELA L MOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1336
(617) 421-1359
Mailing address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1336
(617) 421-1359

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
80178
MA
2085R0202X
Diagnostic Radiology Physician
Primary
80178
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3157407
MA
Enumeration date
01/04/2006
Last updated
03/05/2021
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