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Individual

DR. THOMAS C LICATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
18 E LAUREL RD, STRATFORD, NJ 08084-1327
(856) 566-7121
Mailing address
18 E LAUREL RD, STRATFORD, NJ 08084-1327
(856) 566-7121

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB08708700
NJ

Other

Enumeration date
06/22/2007
Last updated
09/01/2010
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