Doctor Name: | TONYA THOMAS |
NPI Number: | 1003237702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP013014 |
Business Practice Address: | 1616 Pacific Ave Atlantic City, NJ - 084016939 |
Business Phone Number: | 6093507820 |
Business Fax Number: | 6093507822 |
Mailing Address: | 22 N Franklin Blvd, PLEASANTVILLE |
State: | NJ |
Postal Code: | 082322547 |
Phone Number: | 6092720655 |
Fax Number: | 6092729188 |
NPI Enumeration Date: | 12/23/2013 |
NPI Last Update Date: | 12/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | SP013014 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |