Dr THEODROS MARIAM is a male medical professional, specializing in Physician Assistant. He graduated in 2007.
VALLEY FORGE MEDICAL CENTER AND HOSPITAL, INC.
1033 W GERMANTOWN PIKE
NORRISTOWN
PA
194033905
Tel: 6105398500394
| Npi | 1679743330 |
| Pac Id | 7719065333 |
| Professional Enrollment Id | I20080423000336 |
| Last Name | MARIAM |
| First Name | THEODROS |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | VALLEY FORGE MEDICAL CENTER AND HOSPITAL, INC. |
| Group Practice Pac Id | 4183788391 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 1033 W GERMANTOWN PIKE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NORRISTOWN |
| State | PA |
| Zip Code | 194033905 |
| Phone Number | 6105398500394 |
| Hospital Affiliation Ccn 1 | 390272 |
| Hospital Affiliation Lbn 1 | VALLEY FORGE MEDICAL CENTER AND HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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