Thomas Commander, PN045890L | |
6636 Perry Ave, Upper Darby, PA 19082-4311 | |
(610) 734-1175 | |
Not Available |
Full Name | Thomas Commander |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 6636 Perry Ave, Upper Darby, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356660963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | PN045890L (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
Thomas Commander, PN045890L 6636 Perry Ave, Upper Darby, PA 19082-4311 Ph: (610) 734-1175 | Thomas Commander, PN045890L 6636 Perry Ave, Upper Darby, PA 19082-4311 Ph: (610) 734-1175 |
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