IndividualActive
Boosara Ratanawongsa, M.D.
NPI 1700949286 · Neurology with Special Qualifications in Child Neurology Physician · Allentown, PA
Provider details
- NPI number
- 1700949286
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- MD431769 (PA)
Practice location
961 Marcon Blvd Ste 452
Allentown, PA 18109-9366
Phone: (610) 398-9898
Fax: (484) 245-5384
Mailing address
961 Marcon Blvd Ste 452
Allentown, PA 18109-9366
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2025-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.