Cusumano, Thomas Joseph
Cusumano, Thomas Joseph is an sole proprietor health care provider with primary practice located at 26-06 Broadway , Fair Lawn NJ 07410-3829. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Cusumano, Thomas Joseph can be contacted via phone (201) 794-8200.Contact Information
Primary practice address
26-06 Broadway
Fair Lawn NJ 07410-3829
Phone: (201) 794-8200
Fax: (201) 794-8201
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 25MD00002492 | New Jersey |
Profile Details
NPI number | 1710955844 |
---|---|
LBN Legal business name | Cusumano, Thomas Joseph |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 14th, 2006 |
Last updated | Jan 15th, 2016 - about 8 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 | 1710955844 | NPPES |
New Jersey | MEDICAID | 8924007 | |
New Jersey | Other | 156949 |
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