Provider Demographics
NPI:1912983339
Name:HILTON, THOMAS G (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:G
Last Name:HILTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3301 LANCASTER PIKE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-1436
Mailing Address - Country:US
Mailing Address - Phone:302-428-4760
Mailing Address - Fax:302-656-5611
Practice Address - Street 1:3301 LANCASTER PIKE
Practice Address - Street 2:SUITE 9
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-1436
Practice Address - Country:US
Practice Address - Phone:302-428-4760
Practice Address - Fax:302-656-5611
Is Sole Proprietor?:No
Enumeration Date:2005-12-17
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC10004977207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEG48008Medicare UPIN
DE903546C90Medicare PIN