Thomas, Theresa Nicole

Thomas, Theresa Nicole is an individual health care provider with primary practice located at 18 W Blackwell St , Dover NJ 07801-3841. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Thomas, Theresa Nicole can be contacted via phone (973) 328-3344.

Contact Information

Primary practice address
18 W Blackwell St Dover NJ 07801-3841
Phone: (973) 328-3344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA10292100 New Jersey

Profile Details

NPI number 1366838187
LBN Legal business name Thomas, Theresa Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2015
Last updated Jul 26th, 2019 - about 7 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 1366838187 NPPES
New Jersey Other 25MA10292100 LICENSE NUMBER

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