Chanarong Suphavejkornkij, MD - Reisterstown, MD

Chanarong Suphavejkornkij, MD

Specialist in Reisterstown, Maryland

NPI 1396758371

Chanarong Suphavejkornkij is a Specialist based in Reisterstown, MD. Chanarong Suphavejkornkij practices in Reisterstown, MD and has the professional credentials of MD. The NPI Number for Chanarong Suphavejkornkij is 1396758371 and holds a License No. D0018970 (Maryland).

The current practice location address for Chanarong Suphavejkornkij is 5 Woodvalley Ct, Reisterstown, MD and can be reached out via phone at 443-881-4777 and via fax at 443-881-4739.

Location: 5 Woodvalley Ct, Reisterstown, MD, 21136-4629

NPI Number

1396758371

Provider Name

Chanarong Suphavejkornkij

Credential

Provider Entity Type

Individual

Gender

Male

Address

5 Woodvalley Ct, Reisterstown, MD, 21136-4629

Phone Number

443-881-4777

Fax Number

443-881-4739

Provider Enumeration Date

08/14/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
790611100	05	MD

Address

5 Woodvalley Ct

City

Reisterstown

State

Maryland

Zip

21136-4629

Phone Number

443-881-4777

Fax Number

443-881-4739

Address

5 Woodvalley Ct

City

Reisterstown

State

Maryland

Zip

21136-4629

Phone Number

443-881-4777

Fax Number

443-881-4739

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

D0018970 (Maryland)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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