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Individual
THOMAS S SCANLON
Active
Individual
THOMAS S SCANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. F.A.C.P.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
106997-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010158402
UNIVERA
—
01
—
00506579003
COM. BLUE
—
05
—
00595684
—
NY
01
—
0404225
INDEPENDENT HEALTH
—
Enumeration date
07/26/2005
Last updated
07/03/2010
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