Organization Name: | THOMAS FRANCIS D.O., L,L.C. |
NPI Number: | 1801168646 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS FRANCIS (OWNER) |
Mailing Address: | 503 Prospect St Maplewood |
State: | NJ US |
Postal Code: | 070401305 |
Phone Number: | 9732204729 |
Fax Number: | 2017730182 |
NPI Enumeration Date: | 02/08/2012 |
NPI Last Update Date: | 02/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25MB6266700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |