| Doctor Name: | THOMAS RAYMOND SLATTERY |
| NPI Number: | 1235115601 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101235689 |
| Business Practice Address: | 250 King Of Prussia Rd 3rd Fl. Radnor, PA - 190875235 |
| Business Phone Number: | 6109025775 |
| Business Fax Number: | |
| Mailing Address: | 250 King Of Prussia Rd, 3rd Fl. RADNOR |
| State: | PA |
| Postal Code: | 190875235 |
| Phone Number: | 6109025775 |
| Fax Number: | |
| NPI Enumeration Date: | 12/19/2005 |
| NPI Last Update Date: | 07/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101235689 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |