Doctor Name: | MICHAEL JOSEPH THOMAS |
NPI Number: | 1003114638 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD |
License Number: | DN004323 |
Business Practice Address: | 1600 Rockland Road Wilmington, DE - 198033607 |
Business Phone Number: | 3026514200 |
Business Fax Number: | 3026515345 |
Mailing Address: | P.o. Box 191, ROCKLAND |
State: | DE |
Postal Code: | 197230191 |
Phone Number: | 3026514000 |
Fax Number: | 3026514945 |
NPI Enumeration Date: | 03/07/2011 |
NPI Last Update Date: | 06/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1004X |
License Number: | DN004323 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Pediatric |
Taxonomy Definition: |