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NPI Code Detail

MEDICARE: THOMAS FRANK DEBLASIO M.D.

MEDICARE: THOMAS FRANK DEBLASIO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MA05815100NJ

General Provider Information

NPI Number : 1285790782
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS FRANK DEBLASIO M.D.
Provider Business Mailing Address
First Line : 1944 CORLIES AVE STE 103
Second Line :
City : NEPTUNE
State : NJ
Zip : 07753-5197
Country : US
Telephone Number : 732-774-2336
Fax Number : 732-774-2337
Provider Business Practice Location Address
First Line : 1944 CORLIES AVE STE 103
Second Line :
City : NEPTUNE
State : NJ
Zip : 07753-5197
Country : US
Telephone Number : 732-774-2336
Fax Number : 732-774-2337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2006
Last Update Date : 10/02/2024

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