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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770530321 NPPES
Massachusetts MEDICAID 2034999

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