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Individual

MONIKA KAMDAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3557
Mailing address
243 CHARLES STREET, BOSTON, MA 02114
(617) 573-3557

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA4488
PHYSICIAN ASSISTANT LICENSE
MA
Enumeration date
11/26/2012
Last updated
05/26/2017
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