Individual
DR. OUNG THAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6420 RISING SUN AVE, PHILADELPHIA, PA 19111-5229
(215) 725-7550
(215) 725-1018
Mailing address
1401 LORIMER AVE, HUNTINGDON VALLEY, PA 19006-8111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD060716L
PA
Other
Enumeration date
05/16/2006
Last updated
08/08/2016
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