Individual
MS. BOONYANUTH MATUROSTRAKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
RENAL & TRANSPLANT ASSOCIATES OF NEW ENGLAND, P.C., 100 WASON AVE STE 200, SPRINGFIELD, MA 01107-1179
(413) 733-9666
(413) 750-3432
Mailing address
RENAL & TRANSPLANT ASSOCIATES OF NEW ENGLAND, P.C., 100 WASON AVE STE 200, SPRINGFIELD, MA 01107-1179
(413) 733-9666
(413) 750-3432
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
1013403
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
09/07/2023
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