Provider Demographics
NPI:1154542728
Name:NEVIASER, THOMAS JAY (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JAY
Last Name:NEVIASER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15093 RIXEYVILLE LAKES COURT
Mailing Address - Street 2:
Mailing Address - City:RIXEYVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22737
Mailing Address - Country:US
Mailing Address - Phone:540-937-2890
Mailing Address - Fax:540-937-2892
Practice Address - Street 1:15093 RIXEYVILLE LAKES COURT
Practice Address - Street 2:
Practice Address - City:RIXEYVILLE
Practice Address - State:VA
Practice Address - Zip Code:22737
Practice Address - Country:US
Practice Address - Phone:540-937-2890
Practice Address - Fax:540-937-2892
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101023361207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery