Dr. Thomas C Licata, DO
Emergency Medicine in Stratford, New Jersey
1811193253- Practice location
- 18 E Laurel RD, Stratford, NJ 08084-1327
- Phone
- 856-566-7121
- Fax
- —
- Last updated
- September 1, 2010
Thomas C Licata is an Emergency Medicine based in Stratford, NJ. Thomas C Licata practices in Stratford, NJ and has the professional credentials of DO. The NPI Number for Thomas C Licata is 1811193253 and holds a License No. 25MB08708700 (NJ). The current practice location address for Thomas C Licata is 18 E Laurel RD, Stratford, NJ 08084-1327 and can be reached out via phone at 856-566-7121.
Provider Profile Details
- NPI Number
- 1811193253
- Provider Name
- Thomas C Licata
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 18 E Laurel RD, Stratford, NJ 08084-1327
- Phone Number
- 856-566-7121
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 22, 2007
- Last Update Date
- September 1, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 18 E Laurel RD
Stratford, NJ 08084-1327 - City
- Stratford
- State
- New Jersey
- Zip
- 08084-1327
- Phone Number
- 856-566-7121
Provider Business Mailing Address Details
- Address
- 18 E Laurel RD
Stratford, NJ 08084-1327 - City
- Stratford
- State
- NJ
- Zip
- 08084-1327
- Phone Number
- 856-566-7121
License Information
- License Number
- 25MB08708700
- License State
- NJ
- Taxonomy
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Thomas C Licata, DO?
The NPI number of Dr. Thomas C Licata, DO is 1811193253. It was assigned on June 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Thomas C Licata, DO?
Dr. Thomas C Licata, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number 25MB08708700.
Where does Dr. Thomas C Licata, DO practice?
The practice location is 18 E Laurel RD, Stratford, NJ 08084-1327. The office can be reached at 856-566-7121 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811193253 directly on the NPPES registry website.