Individual
DR. THOMAS DANIEL REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
822 PINE ST, SUITE 2A, PHILADELPHIA, PA 19107-6187
(267) 519-0154
(267) 519-0597
Mailing address
835 SPRING HOUSE FARM LN, AMBLER, PA 19002-2172
(619) 977-6252
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101236929
VA
207ND0101X
MOHS-Micrographic Surgery Physician
25MA08860400
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD441292
PA
Other
Enumeration date
02/03/2006
Last updated
05/27/2013
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