Thomas Gerald Corbo, PA-C
Physician Assistant in Wayne, NJ. Individual provider (NPI-1).
NPI number1811501976
StatusActive
Last updated in NPPESAug 20, 2024
Details
- NPI
- 1811501976
- Entity type
- Individual (NPI-1)
- Name
- Mr. Thomas Gerald Corbo
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2020
- Certification date
- Aug 20, 2024
- Last updated
- Aug 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00573700 | NJ | Yes |
| 363AS0400X | Physician Assistant, Surgical | 25MP00573700 | NJ |
Practice location
330 Ratzer Rd Ste B13Wayne, NJ 07470-7704
Phone 973-317-0155
Mailing address
Po Box 416457Boston, MA 02241-6457
Phone 844-362-1735 · Fax 973-290-7495
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All 34 Physician Assistant providers in Wayne · All 2,130 providers in Wayne
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