Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 14945 | NH |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 14945 | NH |
NPI | 1386801132 |
---|---|
Provider Name | Dr. Adrian Jefferson Thomas |
First Address | Bedford, NH 03110-6983 |
Second Address | Bedford, NH 03110-6983 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 28/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1219904 | (02) | NH |
30209769 | (05) | NH |