Provider Demographics
NPI:1669421541
Name:THOMAS, ROBERT FARRINGTON JR (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:FARRINGTON
Last Name:THOMAS
Suffix:JR
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 1:640 WALNUT STREET, 2ND FL
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-3504
Mailing Address - Country:US
Mailing Address - Phone:610-378-2160
Mailing Address - Fax:610-378-2197
Practice Address - Street 1:640 WALNUT STREET, 2ND FL
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3504
Practice Address - Country:US
Practice Address - Phone:610-378-2160
Practice Address - Fax:610-378-2197
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0043249E208600000X
PAMD043249E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E21903Medicare UPIN
39426Medicare PIN