Individual
DR. MARY ANN THENGANATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-6103
(336) 716-2255
Mailing address
330 S 9TH ST, PHILADELPHIA, PA 19107-6103
(215) 829-6500
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2021-00509
NC
2084N0400X
Neurology Physician
25MA09975500
NJ
2084N0400X
Neurology Physician
MD459361
PA
Other
Enumeration date
05/22/2008
Last updated
02/22/2021
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