Individual provider · Type 1 NPI

Potjana Jitawatanarat, MD

Student in an Organized Health Care Education/Training Program · Cooperstown, NY

NPI number 1376706374 Active

Practice location

1 Atwell Rd
Cooperstown, NY 13326-1301

Call (607) 547-3456 Map

Fax (607) 547-3259

Mailing address

PO Box 725
Cooperstown, NY 13326-0725

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1376706374

Potjana Jitawatanarat, MD's National Provider Identifier is 1376706374, issued on Jul 9, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cooperstown, NY. The record was last updated on Jul 9, 2008.