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Individual

HAROLD C THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 HOSPITAL DRVE, GLEN BURNIE, MD 21061
(410) 787-4394
(410) 787-4304
Mailing address
600 JUNEBERRY CT, BOWIE, MD 20721-7242
(301) 249-2795
(301) 249-2795

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD17569
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0009 DC
BLUECROSS BLUESHIELD
DC
01
60238401
BLUE SHIELD
MD
01
J8740001
FEDERAL EMPLOYEE PROGRAM
MD
Enumeration date
12/15/2005
Last updated
02/20/2008
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