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Organization

P.BOONSWANG MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PRICHA BOONSWANG MD (OWNER)
(610) 252-2229
Entity
Organization

Contact information

Practice address
2358 GRUVER AVE, EASTON, PA 18045-2808
(610) 252-2229
(610) 252-8468
Mailing address
2358 GRUVER AVE, EASTON, PA 18045-2808
(610) 252-2229
(610) 252-8468

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006479210002
PA
05
4961200
NJ
Enumeration date
03/26/2007
Last updated
07/18/2007
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