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1578675971
ANTHONY C THEODORIS
PORT JEFFERSON STATION, NY
NPI
1578675971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: NY 221756-1)
Enumeration Date
2006-08-31
Last Update Date
2022-04-29
Business Address
Dr. ANTHONY C THEODORIS M.D.
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776-8054
Phone number: 631-978-7633
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Mailing Address
Dr. ANTHONY C THEODORIS M.D.
45 RESEARCH WAY STE 208A
EAST SETAUKET, NY 11733-6401
Phone number: 631-675-2125
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