Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD433714 | PA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 230467 | MA |
NPI | 1053484360 |
---|---|
Provider Name | Thomas H Vikoren |
First Address | Doylestown, PA 18901-2250 |
Second Address | Doylestown, PA 18901-2250 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 10/11/2009 |