Individual
MARK A THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 COOPER PLZ, THE COOPER HOSPITALIST TEAM, CAMDEN, NJ 08103-1461
(856) 342-3150
(856) 968-8418
Mailing address
1 FEDERAL ST, STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB075505
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010005766
AMERICHOICE
—
01
—
1080022
AETNA
—
01
—
2231393
CIGNA
—
01
—
2271167000
AMERIHEALTH, KEYSTONE, IBC
—
01
—
2362602
UNITED HEALTHCARE
—
01
—
38457
UNIVERSITY HEALTHPLAN
—
01
—
3K6199
HEALTHNET
—
01
—
60020109
HORIZON NJ HEALTH
—
05
—
8077207
—
NJ
01
—
P00281845
RR MEDICARE
—
01
—
P3686938
OXFORD
—
Enumeration date
10/18/2006
Last updated
11/04/2020
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