Doctor Name: | KATHLEEN THOMAS |
NPI Number: | 1417031873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25MA03743600 |
Business Practice Address: | 206 Bergen Ave Suite 202 Kearny, NJ - 07032 |
Business Phone Number: | 2012467500 |
Business Fax Number: | 2012467501 |
Mailing Address: | 206 Bergen Ave, KEARNY |
State: | NJ |
Postal Code: | 07032 |
Phone Number: | 2012467500 |
Fax Number: | 2012467501 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | 25MA03743600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |