Individual
DR. ROY PHITAYAKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHPE
Contact information
Practice address
15 PARKMAN ST, WACC, SUITE 460, BOSTON, MA 02114-3117
(617) 643-0544
(617) 724-2574
Mailing address
15 PARKMAN ST, WACC, SUITE 460, BOSTON, MA 02114-3117
(617) 643-0544
(617) 724-2574
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
239064
MA
Other
Enumeration date
05/10/2007
Last updated
07/18/2012
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