Kontrakul, Sam
Kontrakul, Sam is an sole proprietor health care provider with primary practice located at 55 Fogg Rd , South Weymouth MA 02190-2432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kontrakul, Sam can be contacted via phone (781) 340-8000.Contact Information
Primary practice address
55 Fogg Rd
South Weymouth MA 02190-2432
Phone: (781) 340-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 36924 | Massachusetts |
Profile Details
| NPI number | 1770530321 |
|---|---|
| LBN Legal business name | Kontrakul, Sam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2006 |
| Last updated | Apr 10th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770530321 | NPPES |
| Massachusetts | MEDICAID | 2034999 |
Popular Providers
-
Froio, Ralph Joseph
780 Main St Suite 2A, South Weymouth MA 02190-1622 -
Argy, Odysseus
34 Shore Acres Rd , South Dartmouth MA 02748-1553 -
Mirza, Tahira F
55 Fogg Rd , Weymouth MA 02190-2432 -
Nimbkar, Suniti N.
101 Columbian St , South Weymouth MA 02190 -
Klickstein, Jacob
55 Fogg Rd , South Weymouth MA 02190-2455 -
Maben, Robert E
575 S 70Th St Ste 310, Lincoln NE 68510-2471 -
Kwasnik, Edward M
South Shore Hospital Brigham And Womens Surgical Associates, South Weymouth MA 02190 -
Afrasiabi, Mohammad
55 Fogg Rd , Weymouth MA 02190-2432