Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Mathew Thomas

Individual provider Pediatric Radiology Physician · NPI 1205395126

Jerry Mathew Thomas is a Pediatric Radiology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2019.

Licensed in
PA
In the registry since
2019

Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (267) 590-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Radiology Physician (primary) Taxonomy 2085P0229X · Licence MT230461 (PA)

Record details

NPI number1205395126
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024

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