Eliza Ervin Fulton Thornton
Family Doctor Family Doctor - Adult Medicine
1055 Westlakes Dr Ste 3152
Berwyn
, Pennsylvania 19312-2410
Eliza Ervin Fulton Thornton
Family Doctor Family Doctor - Adult Medicine
1055 Westlakes Dr Ste 3152
Berwyn
, Pennsylvania 19312-2410
(855) 618-6655
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About
Features
Specialties
- Family Doctor
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Eliza Ervin Fulton Thornton
- 500 Kirts Blvd Ste 100
- Troy, MI
- Zip : 48084-4135
- Fax : (855) 618-6655
- Phone : (248) 434-6169
Second Address
- Eliza Ervin Fulton Thornton
- 1055 Westlakes Dr Ste 3152
- Berwyn, PA
- Zip : 19312-2410
- Fax : (215) 220-3562
- Phone : (215) 346-6050
Reviews
FAQs
Where did Eliza Ervin Fulton Thornton attend graduate school?
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Where did Eliza Ervin Fulton Thornton do her fellowship?
Is Eliza Ervin Fulton Thornton board certified?
What type of doctor is Eliza Ervin Fulton Thornton
In what state does Eliza Ervin Fulton Thornton practice in?
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What is Eliza Ervin Fulton Thornton ’s gender?
Is Eliza Ervin Fulton Thornton a sole practitioner?
Is Eliza Ervin Fulton Thornton accepting new patients?
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Does Eliza Ervin Fulton Thornton accept insurance?
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Does Eliza Ervin Fulton Thornton have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | MD436674 | PA |
| Y | 207QA0505X | Family Doctor - Adult Medicine | MD436674 | PA |
National Provider Identifier
| NPI | 1255582201 |
|---|---|
| Provider Name | Eliza Ervin Fulton Thornton |
| First Address | Troy, MI 48084-4135 |
| Second Address | Berwyn, PA 19312-2410 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/10/2008 |
| Last Update Date | 23/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.