Individual
VASIN PALANUKORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 WATER ST STE 1A, ARLINGTON, MA 02476-4814
(781) 648-9700
Mailing address
11 PARK ST APT 5, BROOKLINE, MA 02446-6210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8317
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2020
Last updated
05/03/2022
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