Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | D0074599 | MD |
Y | 2086S0122X | Plastic and Reconstructive Surgery | D74599 | MD |
N | 2086S0122X | Plastic and Reconstructive Surgery | L-225077 | MA |
NPI | 1225234891 |
---|---|
Provider Name | Dr. Mathew A. Thomas |
First Address | Bel Air, MD 21014-0845 |
Second Address | Bel Air, MD 21015-5900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2007 |
Last Update Date | 15/08/2013 |