Provider Demographics
NPI:1457943946
Name:MCGUIRE, THOMAS JOHN JR (MA, ACSM EP-C)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:JOHN
Last Name:MCGUIRE
Suffix:JR
Gender:M
Credentials:MA, ACSM EP-C
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
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Mailing Address - Street 1:4913 TULIP TREE PL
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-2831
Mailing Address - Country:US
Mailing Address - Phone:609-276-4776
Mailing Address - Fax:
Practice Address - Street 1:4913 TULIP TREE PL
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-2831
Practice Address - Country:US
Practice Address - Phone:609-276-4776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-06
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ607851146N00000X
2255A2300X, 246Z00000X, 224Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other