Individual
DR. THOMAS J MCDONALD JR.
Active
Individual
DR. THOMAS J MCDONALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
179149-1
NY
207RG0100X
Gastroenterology Physician
Primary
MD032268E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010401180002
—
PA
05
—
01131704
—
NY
01
—
100014271
RR MEDICARE PIN
PA
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU616091
PA MEDICARE GROUP
PA
01
—
P00315704
RR MEDICARE PIN
NY
Enumeration date
02/03/2006
Last updated
03/29/2021
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