Bram Sakdiponephong
Family Doctor
2830 Easton Ave
Bethlehem
, Pennsylvania 18017-4204
Bram Sakdiponephong
Family Doctor
2830 Easton Ave
Bethlehem
, Pennsylvania 18017-4204
(484) 554-7172
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Bram Sakdiponephong
- 221 W Broad St
- Bethlehem, PA
- Zip : 18018-5517
- Phone : (484) 554-7172
Second Address
- Bram Sakdiponephong
- 2830 Easton Ave
- Bethlehem, PA
- Zip : 18017-4204
- Fax : (833) 822-5230
- Phone : (484) 526-3555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | OT018235 | PA |
National Provider Identifier
| NPI | 1003307778 |
|---|---|
| Provider Name | Bram Sakdiponephong |
| First Address | Bethlehem, PA 18018-5517 |
| Second Address | Bethlehem, PA 18017-4204 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/05/2018 |
| Last Update Date | 29/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.