Monthida Fangtham M.D.

NPI 1669668497 - Internal Medicine - 207RR0500X

NPI Details
NPI 1669668497
Gender Female
Enumeration Date 09/14/2007
Last Updated 04/16/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
5501 OLD YORK RD
KORMAN BLDG SUITE 103
PHILADELPHIA PA, 19141-3018, US
Phone (215) 456-7380
Fax (215) 456-3898
Business Location
PO BOX 8500-8735
PHILADELPHIA PA, 19178-0001, US
Phone (215) 456-7000
Fax (215) 456-5926
Toxanomy
Taxonomy Code 207RR0500X
License State Pennsylvania
License Number MD451462
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According to our database, Monthida Fangtham M.D. NPI is 1669668497, taxonomy code is 207RR0500X and license number is MD451462, license state is located at Pennsylvania. Monthida Fangtham M.D. physically located at 5501 Old York Rd, Philadelphia PA, 19141-3018. NPI Number Monthida Fangtham M.D. has the Individual type.

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1669668497 NPI number is provided on an as is basis without warranty of any kind. 1669668497 is maintained by the National Plan & Provider Enumeration System. The contents of Monthida Fangtham M.D. are for informational purposes only.