Individual
THOMAS M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10455 LINCOLN HWY, EVERETT, PA 15537-7046
(814) 444-1918
(814) 444-9782
Mailing address
PO BOX 1198, SOMERSET, PA 15501-0336
(814) 444-1918
(814) 444-9782
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD072398L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01183011505
—
PA
01
—
0676306000
PERSONAL CHOICE
PA
05
—
117880
—
PA
05
—
1514715
—
PA
01
—
217176
UPMC
PA
01
—
332610
HIGHMARK BLUE SHIELD
PA
05
—
407301100
—
MD
Enumeration date
12/01/2005
Last updated
02/25/2013
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