Individual
BOOSARA RATANAWONGSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
961 MARCON BLVD STE 452, ALLENTOWN, PA 18109-9366
(610) 398-9898
(484) 245-5384
Mailing address
961 MARCON BLVD STE 452, ALLENTOWN, PA 18109-9366
(610) 398-9898
(610) 398-9899
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD431769
PA
Other
Enumeration date
12/18/2006
Last updated
07/14/2025
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