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Individual

MR. THOMAS KEITH ALBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
200 READING AVE, STE 101, WEST READING, PA 19611-1140
(610) 374-3684
(610) 374-3227
Mailing address
138 OAK LN, FLEETWOOD, PA 19522-9035
(610) 374-3684
(610) 374-3227

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001706-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
646284
BLUESHIELD
PA
Enumeration date
07/29/2005
Last updated
02/29/2008
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