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Mr. Thanathip Suenghataiphorn, MD
Student in an Organized Health Care Education/Training Program in Derby, Connecticut
NPI 1679325906

Thanathip Suenghataiphorn is a Student in an Organized Health Care Education/Training Program based in Derby, CT. Thanathip Suenghataiphorn practices in Derby, CT and has the professional credentials of MD. The NPI Number for Thanathip Suenghataiphorn is 1679325906 and holds a License No. (Connecticut).

The current practice location address for Thanathip Suenghataiphorn is 130 Division St, Griffin Hospital, Derby, CT and can be reached out via phone at 203-732-7327.

Location: 130 Division St, Griffin Hospital, Derby, CT, 06418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679325906
Provider Name
Thanathip Suenghataiphorn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
130 Division St, Griffin Hospital, Derby, CT, 06418
Phone Number
203-732-7327
Fax Number
Provider Enumeration Date
04/02/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
130 Division St, Griffin Hospital
City
Derby
State
Connecticut
Zip
06418
Phone Number
203-732-7327
Fax Number
person
Provider Business Mailing Address Details
Address
130 Division St, Griffin Hospital
City
Derby
State
Connecticut
Zip
06418
Phone Number
203-732-7327
Fax Number
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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