Individual
BIVIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W BLACKWELL ST, DOVER, NJ 07801-2525
(973) 989-3085
Mailing address
PO BOX 37, DENVILLE, NJ 07834-0037
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11605400
NJ
207R00000X
Internal Medicine Physician
Primary
ME158730
FL
Other
Enumeration date
03/21/2019
Last updated
06/26/2023
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