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Individual

DAN THAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1020 SANSOM ST STE 1651B, PHILADELPHIA, PA 19107-5002
(215) 955-9837
Mailing address
19 SUNSET ST, PITTSFIELD, MA 01201-1655
(215) 385-6540

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/10/2023
Last updated
05/05/2023
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