Individual
SASITHORN CHITTCHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2338 DANIELS RD, ELLICOTT, MD 21043
(410) 461-9308
Mailing address
2338 DANIELS RD, ELLICOTT, MD 21043
(410) 461-9308
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0016267
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00594
—
MD
Enumeration date
03/29/2014
Last updated
03/29/2014
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