O'Brien, Thomas K

O'Brien, Thomas K is an individual health care provider with primary practice located at 804 W Park Ave , Ocean NJ 07712-7272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. O'Brien, Thomas K can be contacted via phone (732) 531-0010.

Contact Information

Primary practice address
804 W Park Ave Ocean NJ 07712-7272
Fax: (732) 493-0903
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA06852300 New Jersey

Profile Details

NPI number 1659342889
LBN Legal business name O'Brien, Thomas K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Dec 7th, 2018 - about 6 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 1659342889 NPPES
New Jersey MEDICAID 8487502

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