MRS. MILDRED ROMAIN THOMAS NPI 1710574280

NPI Information

  • NPI: 1710574280
  • Provider Name: MRS. MILDRED ROMAIN THOMAS
  • Classification: Mastectomy Fitter - 224900000X
  • Entity Type: Individual
  • Address: 4658 BOUDINOT ST LOWR LEVEL
    PHILADELPHIA, PA
    ZIP 19120
  • Phone: (215) 313-0320

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NPI Details

MRS. Mildred Romain Thomas is a mastectomy fitter in Philadelphia, PA. The provider is an individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. MRS. Mildred Romain Thomas NPI is 1710574280. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4658 BOUDINOT ST LOWR LEVEL
PHILADELPHIA, PA
ZIP 19120-521
Phone: (215) 313-0320
Fax: (215) 324-1903

The enumeration date for this NPI number is 12/30/2020 and was last updated on 2/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224900000XMastectomy FitterC70579PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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