Individual
NON WAJANAPONSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 PARK PLAZA DR, APT#103, PITTSBURGH, PA 15229-3123
(808) 352-8324
Mailing address
4000 PARK PLAZA DR, APT#103, PITTSBURGH, PA 15229-3123
(808) 352-8324
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD13248
HI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD427838
PA
Other
Enumeration date
07/16/2007
Last updated
07/17/2007
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