IAN MICHAEL PAWASARAT

VINELAND, NJ
NPI1932692472
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-06-10
Last Update Date2018-06-10
Business Address
IAN MICHAEL PAWASARAT DO
1505 W SHERMAN AVE
VINELAND, NJ 08360-7059
Phone number: 856-641-8000
Mailing Address
IAN MICHAEL PAWASARAT DO
1505 W SHERMAN AVE
VINELAND, NJ 08360-7059
Phone number: 856-641-8000
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