Individual
DR. THOMAS LESLIE PALLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5793
(410) 328-0248
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5793
(410) 328-0248
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D30688
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000899701
—
DE
05
—
0211860000
—
WV
05
—
022078400
—
DC
05
—
350611800
—
MD
01
—
535915-01
BLUE CROSS/BLUE SHIELD
MD
05
—
5841135
—
VA
Enumeration date
06/13/2006
Last updated
03/11/2008
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