Thomas, Kathleen

Thomas, Kathleen is an individual health care provider with primary practice located at 206 Bergen Ave Suite 202, Kearny NJ 07032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Thomas, Kathleen can be contacted via phone (201) 246-7500.

Contact Information

Primary practice address
206 Bergen Ave Suite 202 Kearny NJ 07032
Fax: (201) 246-7501
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 25MA03743600 New Jersey

Profile Details

NPI number 1417031873
LBN Legal business name Thomas, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1417031873 NPPES
New Jersey MEDICAID 3864103

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