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Individual

DR. JUSTIN PRAKORB ISARIYAWONGSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2790 MOSSIDE BLVD STE G110, MONROEVILLE, PA 15146-2766
(412) 702-0030
Mailing address
2790 MOSSIDE BLVD STE G110, MONROEVILLE, PA 15146-2766
(412) 702-0030

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
57.010506
OH
208800000X
Urology Physician
Primary
MD448991
PA

Other

Enumeration date
05/08/2007
Last updated
07/18/2025
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