JACK TOM, M.D.
Dermatology
Active
Individual
NPI: 1093724239
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology | 207N00000X | Yes | 155342 (NY) |
Frequently Asked Questions
NPI 1093724239 is the National Provider Identifier for JACK TOM, M.D., a Dermatology provider located in Stony Brook, NY. This NPI was enumerated on August 5, 2006.
JACK TOM, M.D. practices at 207 HALLOCK RD, SUITE 211, Stony Brook, NY 11790.
Quick Facts
- NPI
- 1093724239
- Type
- Individual
- Enumerated
- Aug 5, 2006
- Last Updated
- Jul 8, 2007
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