Individual
DR. IOANNIS THEODOROPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
(215) 762-3585
Mailing address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
(215) 762-3585
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT 186555
PA
Other
Enumeration date
06/14/2008
Last updated
06/14/2008
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