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NPI Code Detail

MEDICARE: THOMAS D COATS MD

MEDICARE: THOMAS D COATS MD
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
1207W00000XOphthalmology PhysicianMD053603LPA

General Provider Information

NPI Number : 1558369942
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS D COATS MD
Provider Business Mailing Address
First Line : 1244 FORT WASHINGTON AVE
Second Line : SUITE E1
City : FORT WASHINGTON
State : PA
Zip : 19034-1743
Country : US
Telephone Number : 215-643-2730
Fax Number : 215-643-6677
Provider Business Practice Location Address
First Line : 1244 FORT WASHINGTON AVE
Second Line : SUITE E1
City : FORT WASHINGTON
State : PA
Zip : 19034-1743
Country : US
Telephone Number : 215-643-2730
Fax Number : 215-643-6677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 06/04/2010

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Directions to “ THOMAS D COATS MD” Practice Location

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