Ira M Thal, Md, Pc | |
1615 E Boot Rd West Chester PA 19380-6001 | |
(610) 692-7766 | |
(610) 918-9065 |
Full Name | Ira M Thal, Md, Pc |
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Speciality | Internal Medicine |
Location | 1615 E Boot Rd, West Chester, Pennsylvania |
Authorized Official Name and Position | Ira Mervyn Thal (OWNER) |
Authorized Official Contact | 6106927766 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ira M Thal, Md, Pc Po Box 376 Newtown Square PA 19073-0376 Ph: (610) 692-7766 | Ira M Thal, Md, Pc 1615 E Boot Rd West Chester PA 19380-6001 Ph: (610) 692-7766 |
NPI Number | 1245778786 |
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Provider Enumeration Date | 02/04/2017 |
Last Update Date | 02/04/2017 |
Identifier | Type | State | Issuer |
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1245778786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD0449987L (Pennsylvania) | Primary |
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