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1033218060
BOONYONG P THADA
BALTIMORE, MD
NPI
1033218060
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Former Name
BOONYONG PHRUITHITHADA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MD D0019823)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
Dr. BOONYONG P THADA MD
5356 REISTERSTOWN ROAD
BALTIMORE, MD 21215-4493
Phone number: 410-358-5111
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Mailing Address
Dr. BOONYONG P THADA MD
5356 REISTERSTOWN ROAD
BALTIMORE, MD 21215-4493
Phone number: 410-358-5111
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