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1790979904
THANWA SUDSANG
PHILADELPHIA, PA
NPI
1790979904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085P0229X Radiology, Pediatric Radiology
(Licence: PA MT191797)
Enumeration Date
2007-08-30
Last Update Date
2007-08-30
Business Address
-- THANWA SUDSANG M.D.
34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104-4399
Phone number: 215-590-1000
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Mailing Address
-- THANWA SUDSANG M.D.
3535 MARKET ST 12TH FLOOR, SUITE 1220 - CHOP DEPT OF MSA
PHILADELPHIA, PA 19104-3309
Phone number: 215-590-4670
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