Individual
JOSEPH J THODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2111
(215) 707-2324
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-2111
(215) 707-2324
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD029924E
PA
207X00000X
Orthopaedic Surgery Physician
ME029924E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011251160003
—
PA
Enumeration date
10/13/2005
Last updated
03/21/2017
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