Individual
TINA THERESA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2649 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7326
(484) 884-1007
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301105996
MI
208600000X
Surgery Physician
Primary
MD487802
PA
2086S0102X
Surgical Critical Care Physician
4301105996
MI
2086S0120X
Pediatric Surgery Physician
4301105996
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301105996
MI
Other
Enumeration date
06/22/2009
Last updated
01/21/2025
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