Kincade, Thomas

Kincade, Thomas is an individual health care provider with primary practice located at 104 Market St , Perth Amboy NJ 08861-4412. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Kincade, Thomas can be contacted via phone (732) 826-5159.

Contact Information

Primary practice address
104 Market St Perth Amboy NJ 08861-4412
Fax: (732) 826-2107
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 220654-1 New York
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA03354000 New Jersey

Profile Details

NPI number 1376645325
LBN Legal business name Kincade, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated May 20th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376645325 NPPES
New Jersey MEDICAID 8198101

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