Individual
DR. KAMTORN VANGVANICHYAKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5213
(973) 322-8833
Mailing address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5213
(973) 322-8833
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA03573500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5224004
—
NJ
Enumeration date
07/01/2006
Last updated
03/20/2019
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