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Organization
NEONATOLOGY ASSOCIATES, INC
Active
Organization
NEONATOLOGY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KONGKIET THAERA M.D. (PRESIDENT)
(219) 836-2022
Entity
Organization
Contact information
Practice address
901 MACARTHUR BLVD, NEONATOLOGY DEPARTMENT, MUNSTER, IN 46321-2901
(219) 836-1600
Mailing address
9201 CALUMET AVE, MUNSTER, IN 46321-2807
(219) 836-2022
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NULL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
04/13/2006
Last updated
08/22/2020
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