Individual
MARLO A THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8815 GERMANTOWN AVE, SUITE 40, PHILADELPHIA, PA 19118-2722
(215) 248-8369
Mailing address
8815 GERMANTOWN AVE, SUITE 22, PHILADELPHIA, PA 19118-2722
(215) 248-8887
(215) 836-5372
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP011213
PA
Other
Enumeration date
05/21/2012
Last updated
12/01/2016
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