Healthcare Provider Details

I. General information

NPI: 1619968609
Provider Name (Legal Business Name): JOHN P. THOMAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 SOUTH MAST RD ELLIOT FAMILY MEDICINE AT GLEN LAKE
GOFFSTOWN NH
03045-6102
US

IV. Provider business mailing address

89 SOUTH MAST RD ELLIOT FAMILY MEDICINE AT GLEN LAKE
GOFFSTOWN NH
03045-6102
US

V. Phone/Fax

Practice location:
  • Phone: 603-497-5661
  • Fax: 603-497-5740
Mailing address:
  • Phone: 603-497-5661
  • Fax: 603-497-5740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number10974
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: