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Individual

DR. SIBIN M THACHET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 WASHINGTON STREET, BOX# 299, BOSTON, MA 02111
(617) 636-0067
(617) 636-0041
Mailing address
320 ROBINSON AVE, ORANGE RADIOLOGY, NEWBURGH, NY 12550-3353
(845) 565-1254
(845) 492-2118

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
237692
MA

Other

Enumeration date
07/21/2008
Last updated
05/05/2017
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