Individual
DR. THOMAS GUIDO EGIZI JR.
Active
Individual
DR. THOMAS GUIDO EGIZI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS021199
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT017340
PA
Other
Enumeration date
06/16/2016
Last updated
07/02/2021
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