Thomas John Wall, MD

NPI #1952822595 in Blackwood, New Jersey

Provider Information

NPI Number: 1952822595
Entity Type: Individual
Name: Thomas John Wall, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 5, 2017
Last Updated: Aug 19, 2020

Practice Location

Address: 200 COLLEGE DR
City: Blackwood
State: New Jersey
ZIP Code: 08012-3228
Phone: (856) 536-1630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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