Individual
GEORGE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-2840
(845) 357-5777
Mailing address
100 ROUTE 59, SUITE 105, SUFFERN, NY 10901-4927
(845) 357-5775
(845) 357-5777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
252521
NY
207L00000X
Anesthesiology Physician
Primary
25MA08129400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144339
—
NJ
05
—
03370358
—
NY
01
—
P00946166
RAILROAD MEDICARE
NJ
Enumeration date
09/02/2006
Last updated
06/20/2013
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