Provider Demographics
NPI:1326227869
Name:CYPHER, THOMAS J (DPM)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:J
Last Name:CYPHER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 MILFORD ST
Mailing Address - Street 2:SUITE 403
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-6953
Mailing Address - Country:US
Mailing Address - Phone:410-749-6363
Mailing Address - Fax:410-546-1463
Practice Address - Street 1:106 MILFORD ST
Practice Address - Street 2:SUITE 403
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-6953
Practice Address - Country:US
Practice Address - Phone:410-749-6363
Practice Address - Fax:410-546-1463
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-01
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01253213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT468OtherBLUE CROSS BLUE SHIELD
MD235RMedicare PIN
MDT468OtherBLUE CROSS BLUE SHIELD