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Mr. Tibu Raju Thomas
Emergency Registered Nurse in New York, New York
NPI 1972375996

Tibu Raju Thomas is a Emergency Registered Nurse based in Dumont, NY and is specialized in Emergency. Tibu Raju Thomas practices in New York, NY. The NPI Number for Tibu Raju Thomas is 1972375996 and holds a License No. 26NR16978900 (New York).

The current practice location address for Tibu Raju Thomas is 177 Ft Washingtn Ave, New York, NY and can be reached out via phone at 332-218-4002.

Location: 177 Ft Washingtn Ave, New York, NY, 07628-2509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972375996
Provider Name
Tibu Raju Thomas
Credential
Provider Entity Type
Individual
Gender
Male
Address
177 Ft Washingtn Ave, New York, NY, 07628-2509
Phone Number
332-218-4002
Fax Number
Provider Enumeration Date
10/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
177 Ft Washingtn Ave
City
New York
State
New York
Zip
10032-3733
Phone Number
332-218-4002
Fax Number
person
Provider Business Mailing Address Details
Address
177 Ft Washingtn Ave
City
New York
State
New York
Zip
10032-3733
Phone Number
332-218-4002
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
675168 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
163WM0705X
License No.
26NJ14954700 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
26NR16978900 (New Jersey)
Definition
Definition to come...
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