P.Boonswang Md

LBN: P.Boonswang Md
P.Boonswang Md is an health care organization with primary practice located at 2358 Gruver Ave , Easton PA 18045-2808. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. P.Boonswang Md can be contacted via phone (610) 252-2229, or through Boonswang, Pricha via phone (610) 252-2229.

Contact Information

Primary practice address
2358 Gruver Ave Easton PA 18045-2808
Phone: (610) 252-2229
Fax: (610) 252-8468
Website:
Map and Directions
Authorized official contact:
Name: Boonswang, Pricha Doctor of Medicine (MD)
Phone: (610) 252-2229

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1629196043
LBN Legal business name P.Boonswang Md
DBA Doing business as
Authorized official Boonswang, Pricha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 18th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629196043 NPPES
Pennsylvania MEDICAID 0006479210002
Pennsylvania MEDICAID 4961200

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