Provider Demographics
NPI:1669871026
Name:PAZIONIS, THERESA JULIA CHRISTINA (FRCSC MD MA)
Entity type:Individual
Prefix:DR
First Name:THERESA
Middle Name:JULIA CHRISTINA
Last Name:PAZIONIS
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Gender:F
Credentials:FRCSC MD MA
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Mailing Address - Street 1:2450 W HUNTING PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1302
Mailing Address - Country:US
Mailing Address - Phone:215-707-2111
Mailing Address - Fax:215-707-2324
Practice Address - Street 1:3509 N BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-4105
Practice Address - Country:US
Practice Address - Phone:215-707-2111
Practice Address - Fax:215-707-2324
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2019-02-11
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Provider Licenses
StateLicense IDTaxonomies
PAMD466206207XX0005X
FLME134277207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine