Organization
BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARANI ASHLEY THAMMAVONGSA PA (PHYSICIAN ASSISTANT)
(860) 371-9906
Entity
Organization
Contact information
Practice address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 983-7000
Mailing address
62 13TH ST, CHARLESTOWN, MA 02129-2056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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