Individual
MR. ERNEST THOMAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 E GODFREY AVE, PHILADELPHIA, PA 19120-1646
(267) 671-7884
Mailing address
300 E GODFREY AVE, PHILADELPHIA, PA 19120-1646
(267) 671-7884
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
I DONT HAVE ANOTHER NUMBER
—
Enumeration date
04/01/2019
Last updated
04/01/2019
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