Individual
RANGSUN SITTHICHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 CENTURY DR, WORCESTER, MA 01606-1244
(774) 442-2263
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
245861
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
245861
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110104388A
—
MA
Enumeration date
05/31/2007
Last updated
04/12/2023
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