Provider Demographics
NPI:1235311663
Name:HOLOHAN, THOMAS VINCENT (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:VINCENT
Last Name:HOLOHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:15015 ROSECROFT RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-1860
Mailing Address - Country:US
Mailing Address - Phone:301-929-3353
Mailing Address - Fax:301-929-3354
Practice Address - Street 1:15015 ROSECROFT RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-1860
Practice Address - Country:US
Practice Address - Phone:301-929-3353
Practice Address - Fax:301-929-3354
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0022282207R00000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology