Visut Prasarn MD

NPI 1740411669 - Pediatrics - 208000000X

NPI Details
NPI 1740411669
Gender Male
Enumeration Date 07/28/2009
Last Updated 07/28/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
615 OWEGO RD
CANDOR NY, 13743, US
Phone (607) 659-7259
Fax
Business Location
615 OWEGO RD
CANDOR NY, 13743, US
Phone (607) 659-7259
Fax
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 098312
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According to our database, Dr. Visut Prasarn MD NPI is 1740411669, taxonomy code is 208000000X and license number is 098312, license state is located at New York. Visut Prasarn MD physically located at 615 Owego Rd, Candor NY, 13743. NPI Number Visut Prasarn MD has the Individual type.

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1740411669 NPI number is provided on an as is basis without warranty of any kind. 1740411669 is maintained by the National Plan & Provider Enumeration System. The contents of Visut Prasarn MD are for informational purposes only.