Healthcare Provider Details

I. General information

NPI: 1942250550
Provider Name (Legal Business Name): DONNA-ANN MARIE THOMAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 06/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK STREET ANESTHESIOLOGY
NEW HAVEN CT
06510
US

IV. Provider business mailing address

333 CEDAR ST, TMP 3 YUSM ANESTHESIOLOGY
NEW HAVEN CT
06510-3206
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-4720
  • Fax: 315-464-4905
Mailing address:
  • Phone: 203-785-2802
  • Fax: 203-785-6664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number238442
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: