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NPI Code Detail

MEDICARE: MARIA J TOMCZYK MD

MEDICARE: MARIA J TOMCZYK MD
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
1207Q00000XFamily Medicine PhysicianMD29153TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497710040
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA J TOMCZYK MD
Provider Business Mailing Address
First Line : 165 COVINGTON DR NE
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-4792
Country : US
Telephone Number : 423-478-1050
Fax Number : 423-478-1075
Provider Business Practice Location Address
First Line : 1060 WILLIAM WAY NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-4369
Country : US
Telephone Number : 423-478-1050
Fax Number : 423-478-1075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 03/22/2011

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Directions to “ MARIA J TOMCZYK MD” Practice Location

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