Provider Demographics
NPI:1003153255
Name:JAVIAN, THOMAS (MEDICAL DOCTOR)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:JAVIAN
Suffix:
Gender:M
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 STATION AVE
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-2832
Mailing Address - Country:US
Mailing Address - Phone:215-757-5361
Mailing Address - Fax:
Practice Address - Street 1:376 STATION AVE
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-2832
Practice Address - Country:US
Practice Address - Phone:215-757-5361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD013809E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery