Individual
ERICA THALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 5 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4206
(215) 662-2777
(215) 662-4613
Mailing address
3400 SPRUCE ST, 5 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4206
(215) 662-2777
(215) 662-4613
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD047211L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015434540002
—
PA
Enumeration date
06/23/2006
Last updated
06/14/2012
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