Doctor Name: | DR. STEPHEN WAYNE THAL |
NPI Number: | 1811022288 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS003172L |
Business Practice Address: | 2501 Kuser Road Hamilton, NJ - 08691 |
Business Phone Number: | 6095858800 |
Business Fax Number: | |
Mailing Address: | 3625 Quakerbridge Rd, HAMILTON |
State: | NJ |
Postal Code: | 08619 |
Phone Number: | 6096891600 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 09/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | OS003172L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |