Provider Demographics
NPI:1982749438
Name:AUSTIN, THOMAS MATTHEW (MD FRCSC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MATTHEW
Last Name:AUSTIN
Suffix:
Gender:M
Credentials:MD FRCSC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 10000
Mailing Address - Street 2:PMB 362 PPP
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950
Mailing Address - Country:US
Mailing Address - Phone:670-323-0134
Mailing Address - Fax:
Practice Address - Street 1:MIDDLE ROAD
Practice Address - Street 2:COMMONWEALTH HEALTH CENTRE
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:167-023-4895
Practice Address - Fax:670-236-8900
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP0386207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery