Provider Demographics
NPI:1386601060
Name:THOMAS, ALAPATT P (MD)
Entity type:Individual
Prefix:MR
First Name:ALAPATT
Middle Name:P
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:120 MILLBURN AVE
Mailing Address - Street 2:SUITE M3
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1942
Mailing Address - Country:US
Mailing Address - Phone:973-912-0001
Mailing Address - Fax:973-912-0099
Practice Address - Street 1:1945 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3526
Practice Address - Country:US
Practice Address - Phone:908-686-4603
Practice Address - Fax:908-686-2637
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2013-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA39606207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3864006Medicaid
D96953Medicare UPIN
TH520968Medicare ID - Type Unspecified