Individual provider · Type 1 NPI

Tibu Raju Thomas

Adult Health Nurse Practitioner · Montvale, NJ

NPI number 1972375996 Active

Practice location

225 Summit Ave
Montvale, NJ 07645-1523

Mailing address

109 Howard St
Dumont, NJ 07628-2509

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X26NJ14954700 (NJ)
Adult Health Nurse Practitioner 363LA2200X311660 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1972375996

Tibu Raju Thomas's National Provider Identifier is 1972375996, issued on Oct 24, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Montvale, NJ. The record was last updated on Sep 11, 2024.