Individual
THERESA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
330 FEDERAL ST, CAMDEN, NJ 08103-1149
(609) 682-0352
Mailing address
1651 VELDE AVE, PENNSAUKEN, NJ 08110-2542
(609) 682-0352
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00945200
NJ
Other
Enumeration date
09/07/2019
Last updated
03/13/2023
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