IndividualActive
Iris Simongkhoun
NPI 1407729247 · Contractor · Worcester, MA
Provider details
- NPI number
- 1407729247
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
100 Front St Ste 401
Worcester, MA 01608-1455
Phone: (774) 364-0607
Fax: (774) 366-0051
Approximate (ZIP-level) locationGet directions
Mailing address
100 Front St Ste 401
Worcester, MA 01608-1455
Registry dates
- Enumerated
- 2025-09-26
- Last updated
- 2025-09-26
- Certified
- 2025-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.