Individual
THEODORE FOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 N 21ST ST, SUITE 405, CAMP HILL, PA 17011-2223
(717) 695-6553
(855) 383-3233
Mailing address
425 N 21ST ST, SUITE 405, CAMP HILL, PA 17011-2223
(717) 695-6553
(855) 383-3233
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD438302
PA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
MD438302
PA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
MD438302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12386129
CAQH#
PA
01
—
1851794283
GROUP NPI
PA
01
—
MD438302
STATE LICENSE#
PA
Enumeration date
05/09/2007
Last updated
12/30/2014
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