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Individual

DR. KEMARUT LAOTHAMATAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-0631
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
303255
NY
207R00000X
Internal Medicine Physician
MD463142
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
303255
NY
207RP1001X
Pulmonary Disease Physician
Primary
303255
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/07/2015
Last updated
02/21/2024
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