Individual
MS. THERESA FODOR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
1 INDUSTRIAL BLVD, PAOLI, PA 19301-1601
(610) 408-0822
(610) 408-9187
Mailing address
7 PARKWAY CTR, SUITE 375, PITTSBURGH, PA 15220-3704
(412) 937-5700
(412) 937-5739
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN134626L
PA
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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