Chutiporn Malayamanmd and Duangmarl Malayamanmd PA

NPI #1104120260 in Baltimore, Maryland

Provider Information

NPI Number: 1104120260
Entity Type: Organization
Organization Name: Chutiporn Malayamanmd and Duangmarl Malayamanmd PA
Primary Specialty: Internal Medicine
Enumeration Date: Jan 4, 2011
Last Updated: Jan 4, 2011

Practice Location

Address: 4001 WILKENS AVE
City: Baltimore
State: Maryland
ZIP Code: 21229-5008
Phone: (410) 644-3212

Authorized Official

Name: DR. DUANGMARL P MALAYAMAN, M.D.
Title: SECRETARY
Phone: (410) 644-3212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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