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Individual

DR. ARAN KONGMUANG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6505 MARKET ST, BOARDMAN, OH 44512-3457
(330) 884-2425
Mailing address
559 GREENMONT DR, CANFIELD, OH 44406-9660
(330) 533-2916

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
35-10-0295
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0329906
OH
01
35-10-0295
OHIO LICENSE NUMBER
OH
Enumeration date
03/07/2006
Last updated
07/08/2007
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