Individual
JIRAPAT TEERAKANOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 BELMONT STREET, RHEUMATOLOGY, WORCESTER, MA 01605
(508) 334-5224
(508) 334-5654
Mailing address
55 LAKE AVENUE NORTH, RHEUMATOLOGY, WORCESTER, MA 01655
(508) 856-6246
(508) 856-4770
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
M2365
GU
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2015
Last updated
03/22/2023
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