Organization
ANTONIO THOMAS, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO THOMAS MD (PEDIATRICIAN & PRESIDENT)
(908) 561-2333
Entity
Organization
Contact information
Practice address
1907 PARK AVE, SUITE 204, SOUTH PLAINFIELD, NJ 07080-5530
(908) 561-2333
Mailing address
1907 PARK AVE, SUITE 204, SOUTH PLAINFIELD, NJ 07080-5530
(908) 561-2333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA65287
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7647204
—
NJ
Enumeration date
03/27/2007
Last updated
11/18/2011
Update your record
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