Individual
DR. TEERIN MECKMONGKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
245 N 15TH ST, MS413, PHILADELPHIA, PA 19102-1101
(215) 762-7000
Mailing address
245 N 15TH ST, MS413, PHILADELPHIA, PA 19102-1101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT194551
PA
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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