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Individual

DR. JOHN THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3016 30TH DR, 3RD FLOOR, LONG ISLAND CITY, NY 11102-1874
(718) 274-4263
(866) 308-4263
Mailing address
PO BOX 286116, NEW YORK, NY 10128-0011
(718) 274-4263
(866) 308-4263

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
043842
CT
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
219039
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043842
STATE LICENSE
CT
01
11156088
CAQH NUMBER
01
219039
STATE LICENSE
NY
Enumeration date
06/28/2006
Last updated
10/06/2011
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