Individual
THOMAS JAY GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
120 MADISON AVE, SUITE D, MOUNT HOLLY, NJ 08060-2055
(609) 261-1660
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NO09501300
NJ
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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