Individual
TERRILL E. THEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 E BROWN ST, EAST STROUDSBURG, PA 18301-3006
(570) 421-4000
(570) 476-3754
Mailing address
PO BOX 827658, PHILADELPHIA, PA 19182-7658
(570) 476-3507
(570) 476-3754
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD039395L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000922464
—
PA
Enumeration date
05/17/2006
Last updated
10/05/2012
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