TINA THERESA THOMAS

HACKENSACK, NJ
NPI1619104213
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: NJ  25MA10210400)
Additional Taxonomies208600000X Surgery
(Licence: MI  4301105996)
2086S0102X Surgery, Surgical Critical Care
(Licence: MI  4301105996)
2086S0120X Surgery, Pediatric Surgery
(Licence: MI  4301105996)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  4301105996)
Enumeration Date2009-06-22
Last Update Date2018-09-19
Business Address
TINA THERESA THOMAS MD
20 PROSPECT AVE STE 408
HACKENSACK, NJ 07601-1941
Phone number: 551-996-2625
Mailing Address
TINA THERESA THOMAS MD
20 PROSPECT AVE STE 408
HACKENSACK, NJ 07601-1941
Phone number: 551-996-2625