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Individual

DR. THOMAS JEROME DEVLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
783 WINCHESTER STREET, PAW PAW, WV 25434-0002
(304) 947-5500
(304) 947-5563
Mailing address
PO BOX 457, BEAVER, PA 15009-0457
(304) 947-5500
(304) 947-5563

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0021488
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1377292
CIGNA
WV
05
186511100
MD
Enumeration date
08/25/2006
Last updated
06/24/2017
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