Individual
THOMAS BRABSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 345-4000
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB07516800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2646739000
AMERIHEALTH
NJ
01
—
30029380
KEYSTONE MERCY
NJ
01
—
60018848
HORIZON
NJ
05
—
8523207
—
NJ
Enumeration date
05/26/2006
Last updated
11/18/2009
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