Individual
DR. THOMAS AGESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
299 CHERRY HILL RD STE 105, PARSIPPANY, NJ 07054-1124
(973) 998-8301
(973) 998-8302
Mailing address
299 CHERRY HILL RD STE 105, PARSIPPANY, NJ 07054-1124
(973) 998-8301
(973) 998-8302
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
25MA07245700
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA7245700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004341
—
NJ
Enumeration date
06/27/2006
Last updated
02/21/2023
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