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NPI Code Detail

MEDICARE: JOHN THOMAS M.D.

MEDICARE:   JOHN  THOMAS  M.D.
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
1207R00000XInternal Medicine Physician122095NY

General Provider Information

NPI Number : 1548447774
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN THOMAS M.D.
Provider Business Mailing Address
First Line : 832 PELHAM PKWY S
Second Line :
City : BRONX
State : NY
Zip : 10462-1139
Country : US
Telephone Number : 718-597-0200
Fax Number : 718-597-0201
Provider Business Practice Location Address
First Line : 832 PELHAM PKWY S
Second Line :
City : BRONX
State : NY
Zip : 10462-1139
Country : US
Telephone Number : 718-597-0200
Fax Number : 718-597-0201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2008
Last Update Date : 01/30/2008

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Directions to “ JOHN THOMAS M.D.” Practice Location

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