Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 25MA10787200 | NJ |
N | 207RC0000X | Internist - Cardiovascular Disease | MD071751L | PA |
NPI | 1023257243 |
---|---|
Provider Name | Niku Thomas |
First Address | Camden, NJ 08103-1088 |
Second Address | Camden, NJ 08103-1461 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2009 |
Last Update Date | 23/04/2020 |