Obade, Thomas P

Obade, Thomas P is an individual health care provider with primary practice located at 414 Tatum St , Woodbury NJ 08096-3499. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Obade, Thomas P can be contacted via phone (856) 848-3880.

Contact Information

Primary practice address
414 Tatum St Woodbury NJ 08096-3499
Fax: (856) 848-4895
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X NJMA26422 New Jersey

Profile Details

NPI number 1356348551
LBN Legal business name Obade, Thomas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jul 9th, 2007 - about 19 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 1356348551 NPPES
New Jersey MEDICAID 2145201

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