Provider Demographics
NPI:1447361555
Name:THOMAS, DIANE FRANCES (MD)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:FRANCES
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:301 SAINT PAUL PL
Mailing Address - Street 2:POB 402
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2102
Mailing Address - Country:US
Mailing Address - Phone:410-649-3485
Mailing Address - Fax:410-659-2817
Practice Address - Street 1:301 SAINT PAUL PL
Practice Address - Street 2:POB 402
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2102
Practice Address - Country:US
Practice Address - Phone:410-649-3485
Practice Address - Fax:410-659-2817
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2013-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00648612084N0400X
IL0361313232084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology