Provider Demographics
NPI:1245320936
Name:CARRIG, THOMAS F (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:CARRIG
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 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:COOPER ANESTHESIA ASSOCIATES
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-968-7433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA36166207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ000581523OtherAMERIHEALTH/PPO/PA BS
NJ010003818OtherAMERICHOICE
NJ050034085OtherRR MEDICARE
NJ1081263OtherHORIZON NJ HEALTH
NJ31443OtherUNIVERISTY HEALTH PLAN
NJ581523OtherPA BS HIGHMARK
NJ2320100Medicaid
NJ60001319OtherHORIZON NJ HEALTH
NJ0403224000OtherAMERIHEALTH/KEYSTONE/IBC
NJ0932167OtherAETNA
NJ2566632OtherUNITED HEALTH CARE
NJ60001319OtherHORIZON NJ HEALTH
NJ581523 CK3Medicare PIN
NJ581523 DLFMedicare PIN