Individual
THOMAS MAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(503) 679-2608
Mailing address
630 W 168TH ST, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
276690
MA
207RC0000X
Cardiovascular Disease Physician
Primary
313089
NY
Other
Enumeration date
06/16/2018
Last updated
06/05/2025
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