Pidok Thepmankorn MD

NPI 1073508438 - General Practice - 208D00000X

NPI Details
NPI 1073508438
Gender Male
Enumeration Date 09/13/2005
Last Updated 11/09/2010
Entity Type Individual
Active Over 12 years ago
Practice Location
495 N 13TH ST
NEWARK NJ, 07107-1317, US
Phone (973) 268-1400
Business Location
RED BANK NJ, 07701-4918, US
Phone (732) 212-0060
Taxonomy Code 208D00000X
License State New Jersey
License Number 25MA03010300
Remove 1073508438 NPI Number

According to our database, Dr. Pidok Thepmankorn MD NPI is 1073508438, taxonomy code is 208D00000X and license number is 25MA03010300, license state is located at New Jersey. Pidok Thepmankorn MD physically located at 495 N 13th St, Newark NJ, 07107-1317. NPI Number Pidok Thepmankorn MD has the Individual type.

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1073508438 NPI number is provided on an as is basis without warranty of any kind. 1073508438 is maintained by the National Plan & Provider Enumeration System. The contents of Pidok Thepmankorn MD are for informational purposes only.