Thomas Gavin RPA

NPI 1932252756 - Physician Assistant - 363AM0700X

NPI Details
NPI 1932252756
Gender Male
Enumeration Date 01/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
675 STATE ROUTE 3
PLATTSBURGH NY, 12901-6562, US
Phone (518) 566-0672
Fax (518) 566-0641
Business Location
483 COOLIDGE HILL RD
DIAMOND POINT NY, 12824-2011, US
Phone (518) 578-1703
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 005798
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According to our database, Thomas Gavin RPA NPI is 1932252756, taxonomy code is 363AM0700X and license number is 005798, license state is located at New York. Thomas Gavin RPA physically located at 675 State Route 3, Plattsburgh NY, 12901-6562. NPI Number Thomas Gavin RPA has the Individual type.

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1932252756 NPI number is provided on an as is basis without warranty of any kind. 1932252756 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Gavin RPA are for informational purposes only.