Individual
THOMAS F. BOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2006 LIMESTONE RD, SUITE 5, WILMINGTON, DE 19808
(302) 995-1860
(302) 995-5421
Mailing address
68 S SERVICE RD, SUITE # 350, MELVILLE, NY 11747-2354
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
67523
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102224533
—
PA
05
—
5088305
—
NJ
01
—
P00691985
RAILROAD MEDICARE PTAN
PA
Enumeration date
09/21/2005
Last updated
05/26/2021
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