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Dr. Philip Jaratsak Nivatpumin, MD
Hematology & Oncology Physician in Baltimore, Maryland
NPI 1699721654

Philip Jaratsak Nivatpumin is a Hematology & Oncology Physician based in Baltimore, MD and is specialized in Hematology & Oncology. Philip Jaratsak Nivatpumin practices in Baltimore, MD and has the professional credentials of MD. The NPI Number for Philip Jaratsak Nivatpumin is 1699721654 and holds a License No. D0058475 (Maryland).

The current practice location address for Philip Jaratsak Nivatpumin is 9114 Philadelphia Rd, Baltimore, MD and can be reached out via phone at 410-687-5300 and via fax at 410-682-4418.

Location: 9114 Philadelphia Rd, Baltimore, MD, 21237-4317
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Provider Profile Details
NPI Number
1699721654
Provider Name
Philip Jaratsak Nivatpumin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9114 Philadelphia Rd, Baltimore, MD, 21237-4317
Phone Number
410-687-5300
Fax Number
410-682-4418
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
401416200 05 MD
institution
Provider Business Practice Location Address Details
Address
9114 Philadelphia Rd
City
State
Zip
21237-4317
Phone Number
410-687-5300
Fax Number
410-682-4418
person
Provider Business Mailing Address Details
Address
9114 Philadelphia Rd
City
State
Zip
21237-4317
Phone Number
410-687-5300
Fax Number
410-682-4418
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
D0058475 (Maryland)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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