Individual
DR. BOONLIENG NMN WONGCHAOWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13207 RAVENNA RD, CHARDON, OH 44024-7032
(440) 285-6348
Mailing address
8328 BAINBRIDGE RD, CHAGRIN FALLS, OH 44023-4722
(440) 543-6918
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35-040947
OH
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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