Vangvanichyakorn, Kamtorn

Vangvanichyakorn, Kamtorn is an individual health care provider with primary practice located at 94 Old Short Hills Rd , Livingston NJ 07039-5672. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Vangvanichyakorn, Kamtorn can be contacted via phone (973) 322-5213.

Contact Information

Primary practice address
94 Old Short Hills Rd Livingston NJ 07039-5672
Fax: (973) 322-8833
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 25MA03573500 New Jersey

Profile Details

NPI number 1699704825
LBN Legal business name Vangvanichyakorn, Kamtorn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Mar 20th, 2019 - about 5 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 1699704825 NPPES
New Jersey MEDICAID 5224004

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