Individual
DR. THADDEUS RITCH DE HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2804 SOUTHAMPTON RD, PHILADELPHIA, PA 19154-1207
(215) 677-0930
(215) 677-3266
Mailing address
5080 SPECTRUM DR STE 1200W, ADDISON, TX 75001-4624
(972) 364-8083
(147) 754-5022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA0929600
NJ
207Q00000X
Family Medicine Physician
MD2011-0549
NM
207Q00000X
Family Medicine Physician
MD478812
PA
207R00000X
Internal Medicine Physician
MD2011-0549
NM
2083X0100X
Occupational Medicine Physician
25MA09296000
NJ
2083X0100X
Occupational Medicine Physician
Primary
MD478812
PA
Other
Enumeration date
05/09/2008
Last updated
01/15/2024
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