Provider Demographics
NPI:1760797773
Name:THOMAS J ROJY JR MD PA
Entity Type:Organization
Organization Name:THOMAS J ROJY JR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ROJY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:910-577-1234
Mailing Address - Street 1:43 OFFICE PARK DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-3220
Mailing Address - Country:US
Mailing Address - Phone:910-577-1234
Mailing Address - Fax:910-577-0033
Practice Address - Street 1:43 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-3220
Practice Address - Country:US
Practice Address - Phone:910-577-1234
Practice Address - Fax:910-577-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC94-00624208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty