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NPI Code Detail

MEDICARE: ENRIQUE J TOMEU MD

MEDICARE:   ENRIQUE J TOMEU  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
1207V00000XObstetrics & Gynecology Physician81838NC
2207V00000XObstetrics & Gynecology Physician9801097NC

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 : 1821095332
Entity Type Code : Individual
Provider Name (Legal Business Name) : ENRIQUE J TOMEU MD
Provider Business Mailing Address
First Line : PO BOX 187
Second Line :
City : FAISON
State : NC
Zip : 28341-0187
Country : US
Telephone Number : 910-267-0421
Fax Number : 910-267-0441
Provider Business Practice Location Address
First Line : 212 DUPLIN ST.
Second Line :
City : KENANSVILLE
State : NC
Zip : 28349-6024
Country : US
Telephone Number : 910-296-0787
Fax Number : 910-296-0879
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 03/02/2012

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