Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZA ERVIN FULTON THORNTON, MD
ActiveELIZA ERVIN FULTON THORNTON, MD is a Adolescent Medicine healthcare provider located in BERWYN, Pennsylvania. NPI 1255582201 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · BERWYN, PA
Registration Details
- NPI Number
- 1255582201
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 8, 2008 (17.861913883749 yrs)
- Last Updated
- Nov 23, 2020
- Licenses
-
MT188666 (PA)MD436674 (PA)MD436674 (PA)
Practice Information
- Address
-
1055 WESTLAKES DR STE 3152BERWYN, PA, 193122410Browse PA providers · Browse ZIP 19312
- Phone
- 2153466050
- Fax
- 2152203562
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adolescent Medicine
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.