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Individual

DR. ANUTHEP BENJA-ATHON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
210 E 36TH ST, GROUND LEVEL, NEW YORK, NY 10016-3669
(212) 545-7076
Mailing address
210 E 36TH ST, GROUND LEVEL, NEW YORK, NY 10016-3669
(212) 545-7076

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
160223
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01215567
NY
Enumeration date
03/05/2006
Last updated
07/08/2007
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