Individual
DR. DIANA W THAUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 2ND AVE, SW251, LONG BRANCH, NJ 07740-6303
(732) 923-6769
Mailing address
1 MELROSE TER APT 116, LONG BRANCH, NJ 07740-8127
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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