Individual
BURAVEJ ASSAVAPONGPAIBOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FICO
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3319
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
3013613
MA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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