Doctor Name: | DR. CAROLYN P. THAI |
NPI Number: | 1093126948 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | |
Business Practice Address: | 4901 Forest Park Ave Gme Saint Louis, MO - 631081402 |
Business Phone Number: | 8609957124 |
Business Fax Number: | |
Mailing Address: | 64 Robbins St, Waterbury Hospital WATERBURY |
State: | CT |
Postal Code: | 067082613 |
Phone Number: | 2035736162 |
Fax Number: | 2035737031 |
NPI Enumeration Date: | 05/14/2014 |
NPI Last Update Date: | 05/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |