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Individual
THOMAS BIANCO JR.
Active
Individual
THOMAS BIANCO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
40QA00781300
NJ
225100000X
Physical Therapist
Primary
40QA00781300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962696
UNITEDHEALTHCARE MPIN
NJ
01
—
2713128
CIGNA PPO
NJ
01
—
P00282017
RAILROAD MEDICARE
NJ
Enumeration date
10/06/2006
Last updated
09/24/2021
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