Individual
DR. DANIELLE CLAIRE THOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MAUB
Contact information
Practice address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 214-3122
Mailing address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 214-3122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS025974
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
05/03/2026
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