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:
Health care specialties
Specialty | Code | License # | 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 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205812757 | NPPES |
Arizona | Other | AZ0723220 | BCBS PROVIDER NUMBER |
Arizona | Other | 170723 | BCBS PROVIDER NUMBER |
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