Provider Demographics
NPI:1780898965
Name:BARONE, THOMAS C (DO)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:C
Last Name:BARONE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:255 S 17TH ST
Mailing Address - Street 2:SUITE 601
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-6231
Mailing Address - Country:US
Mailing Address - Phone:215-875-8531
Mailing Address - Fax:215-875-8541
Practice Address - Street 1:255 S 17TH ST
Practice Address - Street 2:SUITE 601
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-6231
Practice Address - Country:US
Practice Address - Phone:215-875-8531
Practice Address - Fax:215-875-8541
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2008-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS0093251208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG80827Medicare UPIN