Individual
DR. PIDOK THEPMANKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
495 N 13TH ST, NEWARK, NJ 07107-1317
(973) 268-1400
Mailing address
66 W GILBERT STREET, RED BANK, NJ 07701-4918
(732) 212-0060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA03010300
NJ
208D00000X
General Practice Physician
25MA03010300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2378205
—
NJ
Enumeration date
09/13/2005
Last updated
11/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us