Provider Demographics
NPI:1669436432
Name:MUNSHOWER, THOMAS EDWARD (DO)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EDWARD
Last Name:MUNSHOWER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 550 ROUTE 209
Mailing Address - Street 2:HARLEYSVILLE NATIONAL BANK
Mailing Address - City:KRESGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18333-0550
Mailing Address - Country:US
Mailing Address - Phone:610-681-6800
Mailing Address - Fax:610-681-6825
Practice Address - Street 1:ROUTE 209
Practice Address - Street 2:HARLEYSVILLE NATIONAL BANK BUILDING
Practice Address - City:KRESGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:18333
Practice Address - Country:US
Practice Address - Phone:610-681-6800
Practice Address - Fax:610-681-6825
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS-007201-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA024427Medicare ID - Type Unspecified
PAF24886Medicare UPIN