MEDICARE: DR. ERIC LOMAN D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	25MB10112800	NJ

General Provider Information

NPI Number	:	1952662140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC LOMAN D.O

Provider Business Mailing Address
First Line	:	831 TILTON PL
Second Line	:
City	:	MIDDLETOWN
State	:	NJ
Zip	:	07748-3713
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1617 ROUTE 88 W STE 101
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724-3010
Country	:	US
Telephone Number	:	732-458-1903
Fax Number	:	732-458-1906

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2012
Last Update Date	:	06/24/2019

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