Doctor Name: | THOMAS JOHN SCHYMANSKI |
NPI Number: | 1003807405 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 13350 Franklin Farm Road Ste 220 Herndon, VA - 201714095 |
Business Phone Number: | 7038105204 |
Business Fax Number: | 7038105411 |
Mailing Address: | Po Box 71230, PHILADELPHIA |
State: | PA |
Postal Code: | 191766230 |
Phone Number: | 7033836469 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2005 |
NPI Last Update Date: | 02/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |