Individual
CHRISTOPHER STEPHEN THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3401 CIVIC CENTER BLVD, 9NW, ROOM 55, PHILADELPHIA, PA 19104-4319
(215) 590-1220
Mailing address
3401 CIVIC CENTER BLVD, 9NW, ROOM 55, PHILADELPHIA, PA 19104-4319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1013397025
PA
208000000X
Pediatrics Physician
MT208697
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MT208697
—
PA
Enumeration date
06/04/2015
Last updated
06/07/2017
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