Individual
DR. BRIAN MARK THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, PHARMD
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-2000
Mailing address
1309 WALNUT AVE, VOORHEES, NJ 08043-3656
(973) 954-0511
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
28RI03711400
NJ
208800000X
Urology Physician
Primary
OT022383
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
12/22/2016
Last updated
05/23/2023
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