Cuomo Jr, Thomas J

Cuomo Jr, Thomas J is an individual health care provider with primary practice located at 13835 N Tatum Blvd 9615, Phoenix AZ 85032-5581. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Cuomo Jr, Thomas J can be contacted via phone (602) 859-9888.

Contact Information

Primary practice address
13835 N Tatum Blvd 9615 Phoenix AZ 85032-5581
Phone: (602) 859-9888
Fax: (480) 922-5903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 21499 Arizona

Profile Details

NPI number 1205812757
LBN Legal business name Cuomo Jr, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205812757 NPPES
Arizona Other AZ0723220 BCBS PROVIDER NUMBER
Arizona Other 170723 BCBS PROVIDER NUMBER

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