MR. Tibu Raju Thomas
NPI #1972375996 in Montvale, New Jersey
Provider Information
- NPI Number
- 1972375996
- Entity Type
- Individual
- Name
- MR. Tibu Raju Thomas
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Oct 24, 2023
- Last Updated
- Sep 11, 2024
Practice Location
- Address
- 225 SUMMIT AVE
- City
- Montvale
- State
- New Jersey
- ZIP Code
- 07645-1523
- Phone
- (201) 472-5431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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