Boosara Ratanawongsa in Allentown - Neurology With Special Qualifications In Child Neurology
Boosara Ratanawongsa - NPI 1700949286
Boosara Ratanawongsa is a Neurology With Special Qualifications In Child Neurology in Allentown, Pennsylvania. Boosara Ratanawongsa practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Boosara Ratanawongsa is 1700949286. The last update date is 2019-06-13.
Boosara Ratanawongsa's current location address is 961 Marcon Blvd Ste 452, Allentown, Pennsylvania. You can contact this provider via phone number 6103989898 and fax number 6103989899. The mailing address for Boosara Ratanawongsa is 961 Marcon Blvd Ste 452, Allentown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Boosara Ratanawongsa |
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Address | 961 Marcon Blvd Ste 452, Allentown, Pennsylvania |
Phone Number | 6103989898 |
Fax Number | 6103989899 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1700949286 |
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Provider Enumeration Date | 2006-12-18 |
Last Updated Date | 2019-06-13 |
Provider Mailing Address Detail
Address | 961 Marcon Blvd Ste 452 |
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City | Allentown |
State | Pennsylvania (PA) |
Post Code | 181099366 |
Phone Number | 6103989898 |
Fax Number | 6103989899 |
Provider's Primary Taxonomy Detail
Speciality | Neurology With Special Qualifications In Child Neurology |
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Taxonomy | 2084N0402X |
Licence No | MD431769 |
Definition: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
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What is the unique identification code assigned to Boosara Ratanawongsa by the Centers for Medicare & Medicaid Services?
The Boosara Ratanawongsa has been issued the NPI (National Provider Identifier) 1700949286. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Boosara Ratanawongsa is located?
The Boosara Ratanawongsa is situated at the following address: 961 Marcon Blvd Ste 452, Allentown, PA, 181099366.
What is Boosara Ratanawongsa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Boosara Ratanawongsa's area of specialization is Neurology With Special Qualifications In Child Neurology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0402X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700949286 to Boosara Ratanawongsa?
The Centers for Medicare & Medicaid Services originally issued the 1700949286 to Boosara Ratanawongsa on 2006-12-18.
As of what date were the Boosara Ratanawongsa's details last updated?
The information pertaining to the Boosara Ratanawongsa, including its address, specialty, and other details, was most recently updated on 2019-06-13.
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