Phupitakphol, Tanit
Phupitakphol, Tanit is an individual health care provider with primary practice located at 130 Quincy Ave , Brockton MA 02302-2803. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Phupitakphol, Tanit can be contacted via phone (508) 941-7268.Contact Information
Primary practice address
130 Quincy Ave
Brockton MA 02302-2803
Phone: (508) 941-7268
Fax: (508) 894-0412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 286943 | Massachusetts |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 286943 | Massachusetts |
Profile Details
| NPI number | 1487005062 |
|---|---|
| LBN Legal business name | Phupitakphol, Tanit |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2016 |
| Last updated | Apr 4th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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