Kittipongdaja, Panyamol Pam
Kittipongdaja, Panyamol Pam is an individual health care provider with primary practice located at 501 Office Center Dr Ste 190-195 , Fort Washington PA 19034-3220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Kittipongdaja, Panyamol Pam can be contacted via phone (215) 836-7900.Contact Information
Primary practice address
501 Office Center Dr Ste 190-195
Fort Washington PA 19034-3220
Phone: (215) 836-7900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS018946 | Pennsylvania |
Profile Details
| NPI number | 1861821589 |
|---|---|
| LBN Legal business name | Kittipongdaja, Panyamol Pam |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2013 |
| Last updated | Feb 13th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861821589 | NPPES |
| Pennsylvania | MEDICAID | 103374660-0001 |
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