Provider Demographics
NPI:1992981666
Name:THOMAS K ALBERT
Entity type:Organization
Organization Name:THOMAS K ALBERT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-374-3684
Mailing Address - Street 1:138 OAK LN
Mailing Address - Street 2:
Mailing Address - City:FLEETWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19522-9035
Mailing Address - Country:US
Mailing Address - Phone:610-374-3684
Mailing Address - Fax:610-374-3227
Practice Address - Street 1:200 READING AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1140
Practice Address - Country:US
Practice Address - Phone:610-374-3684
Practice Address - Fax:610-374-3227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-12
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001706L332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4323460001Medicare NSC