| Doctor Name: | DR. FANI JACQUELINE THOMSON |
| NPI Number: | 1013176247 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 25MB08183900 |
| Business Practice Address: | 1 Valley Health Plz Paramus, NJ - 076523628 |
| Business Phone Number: | 2016345555 |
| Business Fax Number: | |
| Mailing Address: | 15-38 Everett Ter, FAIR LAWN |
| State: | NJ |
| Postal Code: | 074102400 |
| Phone Number: | 2017970176 |
| Fax Number: | |
| NPI Enumeration Date: | 06/03/2008 |
| NPI Last Update Date: | 06/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2081P2900X |
| License Number: | 25MB08183900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Physical Medicine & Rehabilitation |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |