Individual
ILSE K THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 BELLEVUE AVEUNE, SUITE 104, TRENTON, NJ 08618
(609) 396-4700
Mailing address
7 MILLSTONE DR, EAST WINDSOR, NJ 08512-3011
(609) 443-6324
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00024100
NJ
Other
Enumeration date
12/22/2008
Last updated
12/23/2008
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