Cusumano, Thomas Joseph

Cusumano, Thomas Joseph is an sole proprietor health care provider with primary practice located at 26-06 Broadway , Fair Lawn NJ 07410-3829. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Cusumano, Thomas Joseph can be contacted via phone (201) 794-8200.

Contact Information

Primary practice address
26-06 Broadway Fair Lawn NJ 07410-3829
Phone: (201) 794-8200
Fax: (201) 794-8201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00002492 New Jersey

Profile Details

NPI number 1710955844
LBN Legal business name Cusumano, Thomas Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Jan 15th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710955844 NPPES
New Jersey MEDICAID 8924007
New Jersey Other 156949

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