Individual
DR. THOMAS O. WILLCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 CHESTNUT ST, 6TH FLOOR, PHILADELPHIA, PA 19107-4204
(215) 955-6760
(215) 923-4532
Mailing address
925 CHESTNUT STREET, 6TH FLOOR, PHILADELPHIA, PA 19107-4204
(215) 955-6760
(215) 923-4532
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD-042070-E
PA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD-042070-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001421099
—
PA
05
—
5599903
—
NJ
Enumeration date
07/19/2006
Last updated
06/11/2020
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