Individual
KATHLEEN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
206 BERGEN AVE, SUITE 202, KEARNY, NJ 07032
(201) 246-7500
(201) 246-7501
Mailing address
206 BERGEN AVE, KEARNY, NJ 07032
(201) 246-7500
(201) 246-7501
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
25MA03743600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3864103
—
NJ
Enumeration date
10/24/2006
Last updated
07/08/2007
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