Individual
DR. DWITHIYA KRISHNAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1469 EIGHTH AVENUE, BETHLEHEM, PA 18015
(610) 419-7800
(610) 419-7810
Mailing address
1469 EIGHTH AVENUE, BETHLEHEM, PA 18015
(610) 419-7800
(610) 419-7810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08491000
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
MD445323
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206245 (NOTTINGHAM)
—
NJ
01
—
P00831390
RR MEDICARE
NJ
Enumeration date
02/11/2009
Last updated
09/11/2012
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