Thomas J Wall, MD
Family Medicine in Blackwood, New Jersey
1952822595- Practice location
- 200 College Dr, Blackwood, NJ 08012-3228
- Phone
- 856-536-1630
- Fax
- —
- Last updated
- August 19, 2020
Thomas John Wall is a Family Medicine based in Blackwood, NJ. Thomas John Wall practices in Blackwood, NJ and has the professional credentials of MD. The NPI Number for Thomas John Wall is 1952822595 and holds a License No. 25MA10804200 (NJ). The current practice location address for Thomas John Wall is 200 College Dr, Blackwood, NJ 08012-3228 and can be reached out via phone at 856-536-1630.
Provider Profile Details
- NPI Number
- 1952822595
- Provider Name
- Thomas John Wall
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 College Dr, Blackwood, NJ 08012-3228
- Phone Number
- 856-536-1630
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 5, 2017
- Last Update Date
- August 19, 2020
- Certification Date
- August 19, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 College Dr
Blackwood, NJ 08012-3228 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-3228
- Phone Number
- 856-536-1630
Provider Business Mailing Address Details
- Address
- 1 Federal St # 200
Camden, NJ 08103-1088 - City
- Camden
- State
- NJ
- Zip
- 08103-1088
- Phone Number
- 856-356-4924
License Information
- License Number
- 25MA10804200
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Blackwood, NJ
View all Family Medicine providers in Blackwood →Frequently Asked Questions
What is the NPI number of Thomas J Wall, MD?
The NPI number of Thomas J Wall, MD is 1952822595. It was assigned on July 5, 2017 and is currently active in the NPPES registry.
What is the specialty of Thomas J Wall, MD?
Thomas J Wall, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA10804200.
Where does Thomas J Wall, MD practice?
The practice location is 200 College Dr, Blackwood, NJ 08012-3228. The office can be reached at 856-536-1630 (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 1952822595 directly on the NPPES registry website.