Individual
THOMAS RAYMOND SLATTERY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 KING OF PRUSSIA RD, 3RD FL., RADNOR, PA 19087-5235
(610) 902-5775
Mailing address
250 KING OF PRUSSIA RD, 3RD FL., RADNOR, PA 19087-5235
(610) 902-5775
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD442369
PA
208D00000X
General Practice Physician
0101235689
VA
Other
Enumeration date
12/19/2005
Last updated
07/24/2014
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