Individual
MR. THOMAS GERALD CORBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
330 RATZER RD STE B13, WAYNE, NJ 07470-7704
(973) 317-0155
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00573700
NJ
363AS0400X
Surgical Physician Assistant
25MP00573700
NJ
Other
Enumeration date
09/04/2020
Last updated
08/20/2024
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