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

Thomas John Wall, MD

Individual provider Family Medicine Physician · NPI 1952822595

Thomas John Wall, MD is a Family Practice in Blackwood, New Jersey. Qualified in 2017, 9 years ago. Practices with Cooper Family Medicine PC, a 116-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

200 College Dr
Blackwood, NJ 08012-3228
Phone: (856) 536-1630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA10804200 (NJ)

Record details

NPI number1952822595
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2017
Last updated in NPPESAugust 19, 2020
Certification dateAugust 19, 2020
Mailing address1 Federal St # 200, Camden, NJ 08103-1088

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cooper Family Medicine Pc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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