Individual
DR. THERESA JULIA CHRISTINA PAZIONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FRCSC MD MA
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-2111
(215) 707-2324
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-2111
(215) 707-2324
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD466206
PA
Other
Enumeration date
08/21/2014
Last updated
02/11/2019
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