Individual
DR. THOMAS ERIK MICHAELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
INFECTIOUS DISEASES ASSOCIATES PC, 729 GROVE AVE UNIT 4, SOUTHAMPTON, PA 18966-6008
(215) 355-9634
(215) 357-7540
Mailing address
INFECTIOUS DISEASES ASSOCIATES, P.C., 729 GROVE AVE. SUITE 4, SOUTHAMPTON, PA 18966-6008
(215) 355-9634
(215) 357-7540
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD062751L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017584150001
—
PA
Enumeration date
02/15/2006
Last updated
05/19/2021
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