Provider Demographics
NPI:1700885589
Name:STEIN, THOMAS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:STEIN
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:
Practice Address - Street 1:4050 N GEORGE STREET EXT
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:PA
Practice Address - Zip Code:17345-9347
Practice Address - Country:US
Practice Address - Phone:717-356-4370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD419218207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1593517OtherHIGHMARK BLUE SHIELD-WMG
PA1593517OtherHIGHMARK BLUE SHIELD
PAP006205OtherGATEWAY-WMG
PA30088036OtherAMERIHEALTH MERCY-WMG
PA100967600Medicaid
PA30158477OtherAMERIHEALTH CARITAS - WMG - HAN FM
PA972760OtherCAREFIRST BCBS-WMG
PA1593517OtherHIGHMARK BLUE SHIELD-WMG
PA100967600Medicaid
PA30088036OtherAMERIHEALTH MERCY-WMG
PAP006205OtherGATEWAY-WMG