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General NPI Number Information
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NPI Number | 1639107048
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Entity Type | Individual
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Provider Name | THOMAS F CUOMO MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 07/02/2010
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Provider Practice Location Address
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Address Line | 61 1ST ST
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-1900
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Country | US
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Telephone | 973-762-8344
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Fax | 973-762-1626
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Provider Business Mailing Address
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Address Line | 61 FIRST STREET
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City | SO ORANGE
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State | NJ
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Zip | 07079
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Country | US
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Telephone | 973-762-8344
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Fax | 973-762-1626
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MA02971900
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License Number State | NJ
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