Individual
DR. MONTRAE CALHOUN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
485 PARK AVE, ORANGE, NJ 07050
(973) 672-2770
(973) 672-7009
Mailing address
485 PARK AVE, ORANGE, NJ 07050
(973) 672-2770
(973) 672-7009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA35250
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3608409
—
NJ
Enumeration date
05/17/2006
Last updated
01/05/2012
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