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Contact Information

THOMAS THEOCHARIDES, MD
194 STATE ROUTE 35
RED BANK, NJ07701-5935
 Phone: 877-844-4557
 Fax: 732-414-4282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for THOMAS THEOCHARIDES · (Male)

NPI Number 1528014412
Status Active
Credentials MD
Entity Individual
Enumeration date 05/25/2006
Last updated 05/07/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G166702
  • FL License # ME148158
  • GA License # 84663
  • NJ License # 25MA06484300
  • NJ License # MAO64843
Hospital affiliation(s)
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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