Individual
KAWIN TANGDHANAKANOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
8038 JENKINTOWN RD, CHELTENHAM, PA 19012-1224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT189812
PA
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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