Individual
DR. THOMAS V KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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