Individual
GATAREE NGARMCHAMNANRITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, SUITE 363, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
1707 GREEN ST, APT#D, PHILADELPHIA, PA 19130-3906
(215) 317-2702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT186617
PA
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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