Individual
DR. MARYJO G THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
261 JAMES ST, SUITE 2A, MORRISTOWN, NJ 07960-6392
(973) 539-2468
(973) 539-7699
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB056054
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6628401
—
NJ
Enumeration date
02/23/2006
Last updated
04/06/2015
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