Thomas William Petry in Baltimore - Physician Assistant
Thomas William Petry - NPI 1881745123
Thomas William Petry is a Physician Assistant in Baltimore, Maryland. Thomas William Petry practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Thomas William Petry is 1881745123. The last update date is 2012-12-18.
Thomas William Petry's current location address is 6701 N Charles St, Baltimore, Maryland. You can contact this provider via phone number 4438492136. The mailing address for Thomas William Petry is 6701 N Charles St, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas William Petry |
|---|---|
| Address | 6701 N Charles St, Baltimore, Maryland |
| Phone Number | 4438492136 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1881745123 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2012-12-18 |
Provider Mailing Address Detail
| Address | 6701 N Charles St |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212046808 |
| Phone Number | 4438492136 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C0002025 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code issued to Thomas William Petry by the Centers for Medicare & Medicaid Services?
The Thomas William Petry has been assigned the NPI (National Provider Identifier) 1881745123 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Thomas William Petry?
The Thomas William Petry is situated at 6701 N Charles St, in the city of Baltimore, state of MD, with the zip code 212046808.
What is Thomas William Petry's area of expertise and its corresponding taxonomy classification?
The Thomas William Petry's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When was the Thomas William Petry's 1881745123 issued?
The Thomas William Petry's 1881745123 was issued on 2007-01-15.
When was the information regarding Thomas William Petry most recently updated?
The details pertaining to the Thomas William Petry, including its address, specialty, and other relevant information, were last refreshed on 2012-12-18.