Provider Demographics
NPI:1588779862
Name:ANTHONY, THOMAS JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JOSEPH
Last Name:ANTHONY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14014 LOBLOLLY TER
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5472
Mailing Address - Country:US
Mailing Address - Phone:301-593-7510
Mailing Address - Fax:301-593-7572
Practice Address - Street 1:9801 GEORGIA AVE
Practice Address - Street 2:#116
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5276
Practice Address - Country:US
Practice Address - Phone:301-593-7510
Practice Address - Fax:301-593-7572
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD50300207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5005384OtherAETNA
MD1090337OtherCIGNA
MDJ627-0001OtherBC/BS NATIONAL CAPITAL AR
MD642ATH 543613-02OtherBC/BS MARYLAND
MD883901800Medicaid
MD439890OtherMAMSI
MD883901800Medicaid
MD5005384OtherAETNA