Individual
MR. THUMRONG BOONVISUDHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23 CARROLL WAY, MONONGAHELA, PA 15063
(724) 258-6675
Mailing address
23 CARROLL WAY, MONONGAHELA, PA 15063
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD020455E
PA
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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