MEDICARE: DR. THOMAS JOSEPH ROJY JR. MD

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	208200000X	Plastic Surgery Physician	94-00624	NC
2	208200000X	Plastic Surgery Physician	ME00623206	FL
3	208200000X	Plastic Surgery Physician	25MA0510800	NJ
4	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	94-00624	NC
5	2086S0122X	Plastic and Reconstructive Surgery Physician	94-60024	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	72989	OTHER	NC	BC/BS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134217839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS JOSEPH ROJY JR. MD

Provider Business Mailing Address
First Line	:	43 OFFICE PARK DR
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-3220
Country	:	US
Telephone Number	:	910-577-1234
Fax Number	:	910-577-0033

Provider Business Practice Location Address
First Line	:	43 OFFICE PARK DR
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-3220
Country	:	US
Telephone Number	:	910-577-1234
Fax Number	:	910-577-0033

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	09/11/2007

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Directions to “ DR. THOMAS JOSEPH ROJY JR. MD” Practice Location

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