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Individual

ATICHAT BUSRACAMWONGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 EL CAMINO REAL, ORCHID CENTER, SOUTH SAN FRANCISCO, CA 94080-3208
(650) 742-2491
Mailing address
1200 EL CAMINO REAL, ORCHID CENTER, SOUTH SAN FRANCISCO, CA 94080-3208
(650) 742-2491

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A71490
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A71490
CA

Other

Enumeration date
06/21/2006
Last updated
12/22/2021
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