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1841421989
PONGWUT DANCHAIVIJITR
BALTIMORE, MD
NPI
1841421989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MD P24253)
Enumeration Date
2009-08-06
Last Update Date
2009-08-06
Business Address
-- PONGWUT DANCHAIVIJITR MD
6565 N CHARLES ST PPE SUITE 203
BALTIMORE, MD 21204-6800
Phone number: 443-849-2682
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Mailing Address
-- PONGWUT DANCHAIVIJITR MD
6565 N CHARLES ST PPE SUITE 203
BALTIMORE, MD 21204-6800
Phone number: 443-849-2682
Copy
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