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Eliza Ervin Fulton Thornton, MD
Family Medicine Physician in Berwyn, Pennsylvania
NPI 1255582201

Eliza Ervin Fulton Thornton is a Family Medicine Physician based in Troy, PA. Eliza Ervin Fulton Thornton practices in Berwyn, PA and has the professional credentials of MD. The NPI Number for Eliza Ervin Fulton Thornton is 1255582201 and holds a License No. MT188666 (Pennsylvania).

The current practice location address for Eliza Ervin Fulton Thornton is 1055 Westlakes Dr Ste 3152, Berwyn, PA and can be reached out via phone at 215-346-6050 and via fax at 215-220-3562.

Location: 1055 Westlakes Dr Ste 3152, Berwyn, PA, 48084-4135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255582201
Provider Name
Eliza Ervin Fulton Thornton
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1055 Westlakes Dr Ste 3152, Berwyn, PA, 48084-4135
Phone Number
215-346-6050
Fax Number
215-220-3562
Provider Enumeration Date
10/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1055 Westlakes Dr Ste 3152
City
Berwyn
State
Pennsylvania
Zip
19312-2410
Phone Number
215-346-6050
Fax Number
215-220-3562
person
Provider Business Mailing Address Details
Address
1055 Westlakes Dr Ste 3152
City
Berwyn
State
Pennsylvania
Zip
19312-2410
Phone Number
215-346-6050
Fax Number
215-220-3562
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD436674 (Pennsylvania)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
MD436674 (Pennsylvania)
Definition
Definition to come.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MT188666 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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