Individual
DR. VANPAT PENSUWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26 CENTRAL ST, SOMERVILLE, MA 02143-2827
(617) 665-3370
Mailing address
26 CENTRAL ST, SOMERVILLE, MA 02143-2827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
287616
MA
Other
Enumeration date
05/14/2018
Last updated
03/03/2022
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