Individual
TOM THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 971-7355
(973) 290-7393
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
25MA09990100
NJ
207Y00000X
Otolaryngology Physician
48775
MN
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
25MA09990100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353918000
—
MN
Enumeration date
08/04/2006
Last updated
06/19/2019
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