Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS030923-L | PA |
NPI | 1073568556 |
---|---|
Provider Name | Dr. Thomas Edward Helfst |
First Address | Stroudsburg, PA 18360-2015 |
Second Address | Bronx, NY 10467-2836 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 02/02/2022 |