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Individual

DR. THOMAS BIRCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(973) 616-7117
(973) 616-7338
Mailing address
PO BOX 140, CRESSKILL, NJ 07626-0140
(973) 616-7117
(973) 616-7338

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05917200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2495227-019
CIGNA
NJ
01
2K6719
HEALTHNET
NJ
01
2X4411
EMPIRE
NJ
05
6804004
NJ
01
P3565794
OXFORD
NJ
05
PENDING
NJ
Enumeration date
09/28/2006
Last updated
01/28/2010
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