Individual
THOMAS M ANDERSON
Active
Individual
THOMAS M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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