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Individual

THOMAS W FISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1701 AUGUSTINE CUT OFF, WILMINGTON, DE 19803-4415
(302) 652-3016
(302) 571-6270
Mailing address
1701 AUGUSTINE CUT OFF, WILMINGTON, DE 19803-4415
(302) 652-3016
(302) 571-6270

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C10001532
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000012101
DE
Enumeration date
08/11/2005
Last updated
06/24/2010
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