Individual
THAO THIDIEU ALITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2025
(570) 271-6621
(570) 271-6762
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD457591
PA
207R00000X
Internal Medicine Physician
MT198972
PA
Other
Enumeration date
06/27/2011
Last updated
09/19/2016
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