Organization
JERRY THOMAS MD AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE MIGLIACCIO (BILLING MANAGER)
(606) 613-2226
Entity
Organization
Contact information
Practice address
134-6 FRANKLIN CORNER ROAD, LAWRENCEVILLE, NJ 08648-5246
(609) 662-1900
(609) 662-1901
Mailing address
800 DENOW RD, SUITE 382, PENNINGTON, NJ 08534-5246
(609) 613-2226
(609) 662-1900
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
08/16/2010
Last updated
08/19/2010
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