Provider Demographics
NPI:1093077489
Name:TONKIN, THOMAS HOWARD (DO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:HOWARD
Last Name:TONKIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:300 KEYSTONE AVE
Practice Address - Street 2:
Practice Address - City:PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18640-6153
Practice Address - Country:US
Practice Address - Phone:833-552-1852
Practice Address - Fax:570-214-1525
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS019795207Q00000X
VA0102203707207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine