Healthcare Provider Details

I. General information

NPI: 1144284118
Provider Name (Legal Business Name): THOMAS MCGINLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 09/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 MEMORIAL PKWY SUITE 300
PHILLIPSBURG NJ
08865-2748
US

IV. Provider business mailing address

PO BOX 27957
SALT LAKE CITY UT
84127-0957
US

V. Phone/Fax

Practice location:
  • Phone: 908-454-6303
  • Fax:
Mailing address:
  • Phone: 908-835-1910
  • Fax: 908-835-1924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA08730500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: