Individual
MS. THOMAS A WORMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
335 PARRISH ST, CANANDAIGUA, NY 14424-1728
(585) 393-2888
(585) 396-9275
Mailing address
335 PARRISH ST, CANANDAIGUA, NY 14424-1728
(585) 393-2888
(585) 396-9275
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
168688
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01059865
—
NY
01
—
9865
BLUE SHIELD
NY
01
—
MD4041
PREFERRED CARE
NY
Enumeration date
08/18/2005
Last updated
07/08/2007
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