Organization
SEYMOUR W THOMAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNAMARIA CONKLIN (CREDENTIALING COORDINATOR)
(973) 458-0422
Entity
Organization
Contact information
Practice address
424 CLIFTON AVE, CLIFTON, NJ 07011-2645
(973) 340-3700
(973) 340-4668
Mailing address
PO BOX 4195, CLIFTON, NJ 07012-8195
(973) 458-0422
(973) 458-0661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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