Basic Information
| Provider Information | |||||||||
| NPI: | 1114339025 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCCARTHY | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | JAMES | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 925 POPLAR CT | ||||||||
| Address2: | |||||||||
| City: | BENSALEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190204323 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2673917976 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 COOPER PLAZA | ||||||||
| Address2: | COOPER UNIVERSITY HOSPITAL | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563422000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2014 | ||||||||
| LastUpdateDate: | 07/02/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC0200X | 26NR16213100 | NJ | N | Nursing Service Providers | Registered Nurse | Critical Care Medicine | 163WC0200X | RN597575 | PA | N | Nursing Service Providers | Registered Nurse | Critical Care Medicine | 367500000X | 102937 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.