Mariam, Theodros

Mariam, Theodros is an individual health care provider with primary practice located at 1033 W Germantown Pike Valley Forge Medical Center & Hospital, Norristown PA 19403-3905. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mariam, Theodros can be contacted via phone (610) 539-8500.

Contact Information

Primary practice address
1033 W Germantown Pike Valley Forge Medical Center & Hospital Norristown PA 19403-3905
Phone: (610) 539-8500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA053056 Pennsylvania

Profile Details

NPI number 1679743330
LBN Legal business name Mariam, Theodros
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2008
Last updated Feb 3rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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