Individual
RONALD E THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 S MOUNTAIN RD, STE 100, JOPPA, MD 21085-3236
(410) 569-3800
(410) 515-2418
Mailing address
1415 S MOUNTAIN RD, STE 100, JOPPA, MD 21085-3236
(410) 569-3800
(410) 515-2418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0026318
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W6560002
BLUE COICE MPOS
MD
Enumeration date
02/02/2006
Last updated
02/19/2019
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