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BOOSARA RATANAWONGSA M.D. NPI 1700949286


NPI Information

NPI: 1700949286
Provider Name: BOOSARA RATANAWONGSA, M.D.
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
961 MARCON BLVD STE 452
ALLENTOWN, PA
ZIP 18109
Phone: (610) 398-9898
Get Directions

Boosara Ratanawongsa, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Allentown, PA. The provider is 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. Boosara Ratanawongsa, M.D. NPI is 1700949286. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

961 MARCON BLVD STE 452
ALLENTOWN, PA
ZIP 18109-366
Phone: (610) 398-9898
Fax: (610) 398-9899

The enumeration date for this NPI number is 12/18/2006 and was last updated on 12/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyMD431769PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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