CHANIKA PHORNPHUTKUL

PROVIDENCE, RI
NPI1639124530
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207SG0202X Medical Genetics, Clinical Biochemical Genetics
(Licence: RI  MD10121)
Additional Taxonomies2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: RI  10121)
Enumeration Date2006-05-23
Last Update Date2011-12-21
Business Address
-- CHANIKA PHORNPHUTKUL MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8361
Mailing Address
-- CHANIKA PHORNPHUTKUL MD
593 EDDY ST HASBRO 122
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8361
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