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Dr. Potjana Jitawatanarat, MD
Student in an Organized Health Care Education/Training Program in Cooperstown, New York
NPI 1376706374

Potjana Jitawatanarat is a Student in an Organized Health Care Education/Training Program based in Cooperstown, NY. Potjana Jitawatanarat practices in Cooperstown, NY and has the professional credentials of MD. The NPI Number for Potjana Jitawatanarat is 1376706374 and holds a License No. (New York).

The current practice location address for Potjana Jitawatanarat is 1 Atwell Rd, Cooperstown, NY and can be reached out via phone at 607-547-3456 and via fax at 607-547-3259.

Location: 1 Atwell Rd, Cooperstown, NY, 13326-0725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376706374
Provider Name
Potjana Jitawatanarat
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1 Atwell Rd, Cooperstown, NY, 13326-0725
Phone Number
607-547-3456
Fax Number
607-547-3259
Provider Enumeration Date
07/09/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Atwell Rd
City
Cooperstown
State
New York
Zip
13326-1301
Phone Number
607-547-3456
Fax Number
607-547-3259
person
Provider Business Mailing Address Details
Address
1 Atwell Rd
City
Cooperstown
State
New York
Zip
13326-1301
Phone Number
607-547-3456
Fax Number
607-547-3259
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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