Provider Demographics
NPI:1346032026
Name:JEFFERS, THOMAS III
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:
Last Name:JEFFERS
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 S CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:BELLMAWR
Mailing Address - State:NJ
Mailing Address - Zip Code:08031-1446
Mailing Address - Country:US
Mailing Address - Phone:940-500-2599
Mailing Address - Fax:
Practice Address - Street 1:36 S CEDAR AVE
Practice Address - Street 2:
Practice Address - City:BELLMAWR
Practice Address - State:NJ
Practice Address - Zip Code:08031-1446
Practice Address - Country:US
Practice Address - Phone:940-500-2599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No175F00000XOther Service ProvidersNaturopath
No175L00000XOther Service ProvidersHomeopath