Individual
CHOOMPOL MAHASAEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M,D
Contact information
Practice address
100 WOODLAND ST, NATICK, MA 01760-5445
(508) 655-0396
Mailing address
100 WOODLAND ST, NATICK, MA 01760-5445
(508) 655-0396
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
36439
MA
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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