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Individual

JOSEPH MARTIN THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5442 PEACH ST, ERIE, PA 16509-2602
(814) 833-7246
(814) 833-1147
Mailing address
5442 PEACH ST, ERIE, PA 16509-2602
(814) 833-7246
(814) 833-1147

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD045767L
PA
208VP0000X
Pain Medicine Physician
MD045797L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012660260005
PA
01
050018093
RAILROAD MEDICARE
GA
05
0717424
OH
01
273480
HIGHMARK BLUE SHIELD
PA
01
75169
UNISON/MEDPLUS
PA
Enumeration date
06/09/2006
Last updated
09/13/2022
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