Individual
THEODORE TSANGARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 WALNUT ST, PHILADELPHIA, PA 19107-5563
(215) 955-6999
Mailing address
1100 WALNUT ST, PHILADELPHIA, PA 19107-5563
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D40457
MD
208600000X
Surgery Physician
Primary
MD449872
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0370584
—
NJ
05
—
193521601
—
MD
Enumeration date
05/16/2006
Last updated
05/02/2014
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