Individual
THEODORE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, H088, HERSHEY, PA 17033-2360
(717) 531-1692
Mailing address
500 UNIVERSITY DR, H088, HERSHEY, PA 17033-2360
(717) 531-1692
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT187385
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8550014
—
WA
Enumeration date
05/14/2007
Last updated
12/02/2008
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