Individual
DR. THOMAS B SOUDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1802 PAPERMILL RD, WYOMISSING, PA 19610-1100
(610) 372-0712
(610) 376-6968
Mailing address
1802 PAPERMILL RD, WYOMISSING, PA 19610-1100
(610) 372-0712
(610) 376-6968
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD029541L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006827150001
—
PA
01
—
0019735000
KEYSTONE HEALTH EAST
PA
01
—
01389702
CAPITAL BLUE CROSS
PA
01
—
018743
HIGHMARK BLUE SHIELD
PA
01
—
4338991
AETNA
PA
Enumeration date
10/28/2005
Last updated
07/08/2007
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