Individual
BRAM SAKDIPONEPHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, DO
Contact information
Practice address
2830 EASTON AVE, BETHLEHEM, PA 18017-4204
(484) 526-3555
(833) 822-5230
Mailing address
221 W BROAD ST, BETHLEHEM, PA 18018-5517
(484) 554-7172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT018235
PA
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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