Provider Demographics
NPI:1306828843
Name:CAHN, THOMAS H (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:H
Last Name:CAHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 CHIMNEY CORNER LN APT 3002
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4802
Mailing Address - Country:US
Mailing Address - Phone:561-820-0155
Mailing Address - Fax:561-691-3281
Practice Address - Street 1:224 CHIMNEY CORNER LN APT 3002
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4802
Practice Address - Country:US
Practice Address - Phone:561-820-0155
Practice Address - Fax:561-691-3281
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA55708207N00000X
FLME143868207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0173754Medicaid
MA0173754Medicaid
A38366Medicare UPIN