Individual
ANTONIO THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1907 PARK AVE, SUITE 204, SOUTH PLAINFIELD, NJ 07080-5530
(908) 561-2333
Mailing address
63 WHITEOAK DR, SOUTH ORANGE, NJ 07079-1007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MA65287
NJ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MA65287
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7647204
—
NJ
Enumeration date
06/27/2006
Last updated
03/19/2025
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