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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861821589 NPPES
Pennsylvania MEDICAID 103374660-0001

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