MEDICARE: DR. FOTIOS P TJOUMAKARIS 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
1	207X00000X	Orthopaedic Surgery Physician	MD420433	PA
2	207X00000X	Orthopaedic Surgery Physician	ME152830	FL
3	207X00000X	Orthopaedic Surgery Physician	303457	NY
4	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	25MA08019200	NJ
5	207X00000X	Orthopaedic Surgery Physician	25MA08019200	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00344963	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1720035926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FOTIOS P TJOUMAKARIS MD

Provider Business Mailing Address
First Line	:	833 CHESTNUT ST STE 520
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4430
Country	:	US
Telephone Number	:	800-321-9999
Fax Number	:	267-339-3761

Provider Business Practice Location Address
First Line	:	2500 ENGLISH CREEK AVE
Second Line	:	BUILDING 1300
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-5549
Country	:	US
Telephone Number	:	609-677-6060
Fax Number	:	609-677-6061

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

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	07/09/2024

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Directions to “ DR. FOTIOS P TJOUMAKARIS MD” Practice Location

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