Individual
DR. PAIBOON SURICHAMORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
716 MAIDEN CHOICE LN, SUITE 204, CATONSVILLE, MD 21228-5943
(410) 747-7471
(410) 938-2237
Mailing address
5401 OLD COURT RD, CREDENTIALING DEPT., RANDALLSTOWN, MD 21133-5103
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D17132
MD
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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