Doctor Name: | MR. THOMAS GERARD BAILOR |
NPI Number: | 1184068330 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 13-93071-54 |
Business Practice Address: | 316 Baywinds Court Dagsboro, DE - 19939 |
Business Phone Number: | 3022459986 |
Business Fax Number: | 3025374141 |
Mailing Address: | 316 Baywinds Court, DAGSBORO |
State: | DE |
Postal Code: | 19939 |
Phone Number: | 3022459986 |
Fax Number: | 3025374141 |
NPI Enumeration Date: | 04/18/2013 |
NPI Last Update Date: | 04/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | 13-93071-54 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |