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Dr. Thomas G Stackhouse, MD
Specialist in Voorhees, New Jersey
NPI 1578659082

Thomas G Stackhouse is a Specialist based in Marlton, NJ. Thomas G Stackhouse practices in Voorhees, NJ and has the professional credentials of MD. The NPI Number for Thomas G Stackhouse is 1578659082 and holds a License No. MA46176 (New Jersey).

The current practice location address for Thomas G Stackhouse is 200 Bowman Dr, Voorhees, NJ and can be reached out via phone at 609-267-9400 and via fax at 609-267-9457.

Location: 200 Bowman Dr, Voorhees, NJ, 08053-3195
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578659082
Provider Name
Thomas G Stackhouse
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Bowman Dr, Voorhees, NJ, 08053-3195
Phone Number
609-267-9400
Fax Number
609-267-9457
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6569F02206 01 NJ 1ST OPTION
BNS012 01 NJ OXFORD
0065218 01 NJ GHI
3730395B 01 NJ CIGNA
157012 01 NJ GREAT WEST
0090628000 01 NJ KEYSTONE
2K1291 01 NJ HEALTHNET
4090523 01 NJ AETNA
1243672 01 NJ UNITED HEALTHCARE
0090628000 01 NJ AMERIHEALTH
institution
Provider Business Practice Location Address Details
Address
200 Bowman Dr
City
Voorhees
State
New Jersey
Zip
08043-9623
Phone Number
609-267-9400
Fax Number
609-267-9457
person
Provider Business Mailing Address Details
Address
200 Bowman Dr
City
Voorhees
State
New Jersey
Zip
08043-9623
Phone Number
609-267-9400
Fax Number
609-267-9457
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA46176 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgery of the Hand
Taxonomy
2086S0105X
License No.
MA46176 (New Jersey)
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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