Poowanawittayakom, Nongnooch

Poowanawittayakom, Nongnooch is an individual health care provider with primary practice located at 63 Main Street , Brockton MA 02301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Poowanawittayakom, Nongnooch can be contacted via phone (508) 559-6699.

Contact Information

Primary practice address
63 Main Street Brockton MA 02301
Phone: (508) 559-6699
Fax: (508) 559-5073
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 270143 Massachusetts

Profile Details

NPI number 1326302761
LBN Legal business name Poowanawittayakom, Nongnooch
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated Jul 21st, 2022 - about 4 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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