MEDICARE: ROSEMARY THOMAS

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1104016021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARY THOMAS

Provider Business Mailing Address
First Line	:	3901 MARKET ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-3133
Country	:	US
Telephone Number	:	215-243-2800
Fax Number	:	215-387-7989

Provider Business Practice Location Address
First Line	:	3901 MARKET ST
Second Line	:	BOX 1934
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-3133
Country	:	US
Telephone Number	:	215-243-2800
Fax Number	:	215-387-7989

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	07/26/2007

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Directions to “ ROSEMARY THOMAS ” Practice Location

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