Individual
THORNTON A MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - NEUROLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-1719
(215) 590-1771
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9258
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD071479L
PA
2080P0214X
Pediatric Pulmonology Physician
MD071479L
PA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
25MA07198900
NJ
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD071479L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001847515
—
PA
05
—
8568804
—
NJ
Enumeration date
07/28/2006
Last updated
04/08/2015
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