Dr. Thomas Meola Jr., MD
Dermatology in New York, NY. Individual provider (NPI-1).
NPI number1982602413
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1982602413
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas Meola Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2005
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 180823 | NY | Yes |
Practice location
1410 Broadway Rm 703New York, NY 10018-9365
Phone 212-481-7541 · Fax 212-599-4554
Mailing address
1410 Broadway Rm 703New York, NY 10018-9365
Phone 212-481-7541 · Fax 212-599-4554
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