Organization
DR.THOMAS J WHALEN MD PC
Active
Parent organization
DR. THOMAS J WHALEN MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. THOMAS J WHALEN MD PC
Authorized official
THOMAS J WHALEN MD (PRESIDENT)
(505) 246-9190
Entity
Organization
Contact information
Practice address
8314 KASEMAN CT NE, ALBUQUERQUE, NM 87110
(505) 246-9190
(505) 246-9617
Mailing address
21 VALERIE AVE, MONTPELIER, VT 05602-3748
(505) 892-4461
(505) 892-4461
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
NM97165
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L9727
—
NM
Enumeration date
07/05/2006
Last updated
05/15/2013
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