Organization
IRA M THAL, MD, PC
Active
Organization
IRA M THAL, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA MERVYN THAL MD (OWNER)
(610) 692-7766
Entity
Organization
Contact information
Practice address
1615 E BOOT RD, WEST CHESTER, PA 19380-6001
(610) 692-7766
(610) 918-9065
Mailing address
PO BOX 376, NEWTOWN SQUARE, PA 19073-0376
(610) 692-7766
(610) 918-9065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0449987L
PA
Other
Enumeration date
02/04/2017
Last updated
02/04/2017
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