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Individual
NICHOLAS T WONGCHAOWART
Active
Individual
NICHOLAS T WONGCHAOWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
35087155
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35-087155
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2737971
—
OH
01
—
POO415775
RR MEDICARE
OH
Enumeration date
04/03/2007
Last updated
05/16/2014
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