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Individual

VIROON DONAVANIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4701 OGLETOWN STANTON RD, STE 1109, NEWARK, DE 19713-2079
(302) 623-4800
(302) 623-4850
Mailing address
PO BOX 12870, WILMINGTON, DE 19850-2870
(302) 733-0374
(302) 733-0854

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
C1-0001763
DE
2085R0001X
Radiation Oncology Physician
D0019513
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000157201
DE
05
101210640
PA
05
397941500
MD
Enumeration date
06/10/2006
Last updated
08/13/2012
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