Provider Demographics
NPI:1790901619
Name:THOMAS, JOSHUA ADAM (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ADAM
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1919 SKINNERS TURN RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20736-3041
Mailing Address - Country:US
Mailing Address - Phone:301-485-7400
Mailing Address - Fax:866-214-0466
Practice Address - Street 1:1919 SKINNERS TURN RD
Practice Address - Street 2:
Practice Address - City:OWINGS
Practice Address - State:MD
Practice Address - Zip Code:20736-3041
Practice Address - Country:US
Practice Address - Phone:410-575-3429
Practice Address - Fax:866-214-0466
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2019-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH69982208VP0014X
PAOS013418208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation