Individual
DR. THOMAS WILLIAM ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8044
(717) 531-5596
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
MD048243L
PA
207UN0902X
Nuclear Imaging & Therapy Physician
MD048243L
PA
2085R0202X
Diagnostic Radiology Physician
MD048243L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019813000001
—
PA
Enumeration date
01/24/2007
Last updated
04/22/2019
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