Individual
ANN MARY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
130A W PLEASANT AVE, MAYWOOD, NJ 07607-1357
(201) 820-4477
Mailing address
130A W PLEASANT AVE, MAYWOOD, NJ 07607-1357
(201) 820-4477
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00306700
NJ
Other
Enumeration date
06/06/2013
Last updated
10/11/2013
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