Organization
KIET VI THAI, PC
Active
Other names
Washington Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIET VI THAI M.D. (PRESIDENT)
(215) 462-1290
Entity
Organization
Contact information
Practice address
643 WASHINGTON AVE, PHILADELPHIA, PA 19147-4825
(215) 462-1290
(215) 462-1105
Mailing address
643 WASHINGTON AVE, PHILADELPHIA, PA 19147-4825
(215) 462-1290
(215) 462-1105
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-040810-L
PA
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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