MEDICARE: THOMAS J ROJY JR MD PA

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

General Provider Information

NPI Number	:	1760797773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS J ROJY JR MD PA

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	:	SURGEON
Name	:	DR. THOMAS JOSEPH ROJY JR.
Credential	:	MD
Telephone Number	:	910-577-1234

Provider Enumeration Date	:	08/13/2010
Last Update Date	:	08/13/2010

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