Individual
THOMAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 KINGSLEY LANE, NORFOLK, VA 23505
(757) 889-5069
Mailing address
PO BOX 758994, BALTIMORE, MD 21275-6412
(800) 353-0788
(804) 355-6031
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101049853
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6600298
—
VA
Enumeration date
04/26/2006
Last updated
03/18/2008
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