Tassakis, Tom A

Tassakis, Tom A is an individual health care provider with primary practice located at 1550 E Chestnut Ave Building 4 Suite D, Vineland NJ 08361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Tassakis, Tom A can be contacted via phone (856) 691-1910.

Contact Information

Primary practice address
1550 E Chestnut Ave Building 4 Suite D Vineland NJ 08361
Phone: (856) 691-1910
Fax: (856) 691-8330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA06255100 New Jersey

Profile Details

NPI number 1689760951
LBN Legal business name Tassakis, Tom A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Sep 18th, 2008 - about 17 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 1689760951 NPPES
New Jersey Other P00613557 RAILROAD MEDICARE
New Jersey MEDICAID 663940200 RAILROAD MEDICARE

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