1598940231 NPI number — GARRY J THOMAS MD PC DBA

Table of content: (NPI 1598940231)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598940231 NPI number — GARRY J THOMAS MD PC DBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GARRY J THOMAS MD PC DBA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598940231
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2500 DEKALB PK
Provider Second Line Business Mailing Address:
SUITE 301
Provider Business Mailing Address City Name:
NORRISTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-272-1644
Provider Business Mailing Address Fax Number:
610-272-3210

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2045 WESTGATE DR
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-272-1644
Provider Business Practice Location Address Fax Number:
610-272-3210
Provider Enumeration Date:
12/31/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BATES
Authorized Official First Name:
NEDRA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
610-272-1644

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  MD-038774-E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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