Basic Information
| Provider Information | |||||||||
| NPI: | 1316459480 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | THOMAS | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | FRANKLIN | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1830 GOOD HOPE RD | ||||||||
| Address2: | |||||||||
| City: | ENOLA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170251233 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177328877 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1830 GOOD HOPE ROAD | ||||||||
| Address2: | |||||||||
| City: | ENOLA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17025 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177328877 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/30/2017 | ||||||||
| LastUpdateDate: | 10/23/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OT018175 | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | OS019840 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.