Individual
MR. THOMAS PANNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 DULANEY VALLEY RD STE 220, TOWSON, MD 21204-0621
(410) 583-1000
Mailing address
901 DULANEY VALLEY RD STE 220, TOWSON, MD 21204-0621
(410) 819-0710
(410) 819-0712
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R053987
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
536411600
—
MD
Enumeration date
11/18/2005
Last updated
08/18/2008
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