Thepmankorn, Pidok

Thepmankorn, Pidok is an individual health care provider with primary practice located at 495 N 13Th St , Newark NJ 07107-1317. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Thepmankorn, Pidok can be contacted via phone (973) 268-1400.

Contact Information

Primary practice address
495 N 13Th St Newark NJ 07107-1317
Phone: (973) 268-1400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA03010300 New Jersey
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25MA03010300 New Jersey

Profile Details

NPI number 1073508438
LBN Legal business name Thepmankorn, Pidok
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Nov 9th, 2010 - about 14 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 1073508438 NPPES
New Jersey MEDICAID 2378205

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