Individual
DR. MICHAEL E THASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 MARKET STREET, 3RD FLOOR, PHILADELPHIA, PA 19104-3309
(215) 746-6700
Mailing address
3535 MARKET ST., 3RD FLOOR, PHILADELPHIA, PA 19104-2617
(215) 746-6700
(215) 746-5155
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
MD024464E
PA
174400000X
Specialist
MD024464E
PA
2084P0800X
Psychiatry Physician
Primary
MD024464E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000836670
—
PA
Enumeration date
02/27/2006
Last updated
10/10/2012
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