Organization
THORNTON EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B MOROSCO D.O. (PRESIDENT/GENERAL PARTNER)
(800) 732-1066
Entity
Organization
Contact information
Practice address
1600 23RD ST, BEDFORD, IN 47421-4704
(812) 275-3331
(812) 276-1209
Mailing address
PO BOX 42030, PHILADELPHIA, PA 19101-2030
(800) 732-1066
(630) 941-4333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330354
BLUE SHIELD
IN
Enumeration date
06/06/2006
Last updated
04/20/2008
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