Individual
THOMAS JOSEPH MONACO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3034
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9300541
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050047830
RAILROAD-MEDICARE
NC
01
—
132EY
BCBS NC
NC
01
—
24535
PARTNERS
NC
01
—
4406109
CIGNA
NC
01
—
65411
MEDCOST
NC
05
—
89132EY
—
NC
Enumeration date
08/31/2006
Last updated
03/30/2021
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