Healthcare Provider Details

I. General information

NPI: 1700825569
Provider Name (Legal Business Name): WILLIAM A THOMAS JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34434 KING STREET ROW SUITE 2
LEWES DE
19958-4787
US

IV. Provider business mailing address

33672 BAYVIEW MEDICAL DR FL 1
LEWES DE
19958-1687
US

V. Phone/Fax

Practice location:
  • Phone: 302-644-8880
  • Fax: 302-644-8882
Mailing address:
  • Phone: 302-645-2437
  • Fax: 833-629-0820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberC10005030
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: