Individual
STEPHEN THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG, PHILADELPHIA, PA 19104
(215) 662-6963
Mailing address
3400 SPRUCE ST., GROUND SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-7248
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD037634E
PA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
MD037634E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010821540002
—
PA
Enumeration date
06/06/2006
Last updated
02/28/2013
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