Individual
ASHANTH JOSEPH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2065
(908) 522-5763
Mailing address
PO BOX 412826, BOSTON, MA 02241-2526
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
25MA12323700
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
25MA12323700
NJ
Other
Enumeration date
04/16/2018
Last updated
09/10/2024
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