Massachusetts
Division of Professional Licensure
Wanda Phipatanakul
Board Of Registration In Medicine
License number
204416
Date granted
04/26/2000
Date expires
03/26/2017
Class
Board Of Registration In Medicine
Status
Active
Address
Boston Children's Hospital/Immunology/ Fegan 6, 300 Longwood Ave.
licensingma.org
ID 41466636
LAST UPDATED 2026-04-03 09:22:02 UTC
LAST UPDATED 2026-04-03 09:22:02 UTC
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