Individual
DR. THOMAS THEOCHARIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
194 STATE ROUTE 35, RED BANK, NJ 07701-5935
(877) 844-4557
(732) 414-4282
Mailing address
1569 BURNET AVE, UNION, NJ 07083-4250
(732) 682-1000
(732) 414-4282
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MAO64843
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA06484300
NJ
207V00000X
Obstetrics & Gynecology Physician
84663
GA
207V00000X
Obstetrics & Gynecology Physician
G166702
CA
207V00000X
Obstetrics & Gynecology Physician
ME148158
FL
Other
Enumeration date
05/25/2006
Last updated
05/07/2021
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