Individual
DR. THOMAS V KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
755 NORMAN DR, LEBANON, PA 17042-7497
(717) 273-6706
(717) 273-1435
Mailing address
755 NORMAN DR, LEBANON, PA 17042-7497
(717) 273-6706
(717) 273-1435
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD037096E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011971160004
—
PA
01
—
01884001
CAPITAL BLUE CROSS
—
01
—
1512971
GATEWAY HEALTH PLAN
—
01
—
513306
HIGHMARK BLUE SHIELD
—
Enumeration date
08/19/2005
Last updated
02/03/2010
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