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Contact Information

PHALNARITH BA, OUT REACH WORKER
265 BEACH ST
REVERE, MA02151-3131
 Phone: 617-912-7732
 Fax: 781-286-5636
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interpreter

171R00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for PHALNARITH BA · (Female)

NPI # 1114064656
Status Active
Credentials OUT REACH WORKER
Entity Individual
Enumeration date 02/01/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • MA Medicaid 1301659
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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