Individual
JOLLY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18 MORRIS AVE STE 2A, SPRINGFIELD, NJ 07081-1455
(973) 379-4300
(973) 379-4302
Mailing address
18 MORRIS AVE STE 2A, SPRINGFIELD, NJ 07081-1455
(973) 379-4300
(973) 379-4302
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA068122
NJ
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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