Provider Demographics
NPI:1306471628
Name:SON, RAKSA CHET (PA-C)
Entity type:Individual
Prefix:
First Name:RAKSA
Middle Name:CHET
Last Name:SON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-1807
Mailing Address - Country:US
Mailing Address - Phone:978-551-0042
Mailing Address - Fax:
Practice Address - Street 1:136 HARRISON AVE STE 207
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1800
Practice Address - Country:US
Practice Address - Phone:617-636-0405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-06
Last Update Date:2020-03-06
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant