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1003307778
BRAM SAKDIPONEPHONG
BETHLEHEM, PA
NPI
1003307778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OT018235)
Enumeration Date
2018-05-29
Last Update Date
2018-05-29
Business Address
BRAM SAKDIPONEPHONG MS, DO
2830 EASTON AVE
BETHLEHEM, PA 18017-4204
Phone number: 484-526-3555
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Mailing Address
BRAM SAKDIPONEPHONG MS, DO
221 W BROAD ST
BETHLEHEM, PA 18018-5517
Phone number: 484-554-7172
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