Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC002663L | PA |
Y | 222Z00000X | Podiatrist | SC002663L | PA |
NPI | 1063404937 |
---|---|
Provider Name | Dr. Frederick J Tomassi |
First Address | Erie, PA 16509-1621 |
Second Address | Erie, PA 16509-1621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2005 |
Last Update Date | 04/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10937716 | UNITED HEALTHCARE (01) | PA |
1500186 | GATEWAY (01) | PA |
208378 | UPMC (01) | PA |
315569 | HEALTH AMERICA (01) | PA |
4099240 | AETNA PPO (01) | PA |
443626 | HIGHMARK BLUE SHIELD (01) | PA |
64728 | MEDPLUS (01) | PA |
748412 | AETNA HMO (01) | PA |
T80787 | (02) | PA |