Doctor Name: | MR. THOMAS ALOYISIOUS MCGLEW |
NPI Number: | 1881864650 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | M12537406101674 |
Business Practice Address: | 316 Elm Ave 1st Floor Bogota, NJ - 076031219 |
Business Phone Number: | 2015251515 |
Business Fax Number: | 2015250377 |
Mailing Address: | 316 Elm Ave, 1st Floor BOGOTA |
State: | NJ |
Postal Code: | 076031219 |
Phone Number: | 2015251515 |
Fax Number: | 2015250377 |
NPI Enumeration Date: | 03/07/2008 |
NPI Last Update Date: | 03/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 172A00000X |
License Number: | M12537406101674 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Driver |
Taxonomy Specialization: | |
Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |