Provider Demographics
NPI:1184793556
Name:THORNTON, JOSEPH HAROLD (PA-C)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:HAROLD
Last Name:THORNTON
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:407 CATHERINE ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2006
Mailing Address - Country:US
Mailing Address - Phone:908-231-1026
Mailing Address - Fax:
Practice Address - Street 1:PRINCETON UNIVERSITY HEALTH
Practice Address - Street 2:MCCOSH HEALTH CENTER
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08544-0001
Practice Address - Country:US
Practice Address - Phone:609-258-3141
Practice Address - Fax:609-258-1355
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00000400363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant