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Individual
MR. THOMAS J MARSTON
Active
Individual
MR. THOMAS J MARSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
014677
NY
225100000X
Physical Therapist
Primary
03603
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000406994010
BSNENY
NY
05
—
01966921
—
NY
01
—
040617000038
FIDELIS
NY
01
—
10025376
CDPHP
NY
01
—
227921
WELLCARE
NY
01
—
3439517
AETNA
NY
01
—
364247
MVP
NY
01
—
6697905
GHI
NY
01
—
813120
MPN
NY
01
—
Q03G11
EMPIRE BC
NY
Enumeration date
08/12/2005
Last updated
01/18/2023
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