Provider Demographics
NPI:1669232484
Name:THOMMES, DONALD JEFFREY (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:JEFFREY
Last Name:THOMMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DJ
Other - Middle Name:
Other - Last Name:THOMMES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14145 WALCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7490
Mailing Address - Country:US
Mailing Address - Phone:302-415-1331
Mailing Address - Fax:
Practice Address - Street 1:101 NICOLLS RD
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-689-8333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program