Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | OS 003639L | PA |
NPI | 1033155627 |
---|---|
Provider Name | Dr. Thomas J Scheuerman |
First Address | Philadelphia, PA 19145-3933 |
Second Address | Phila, PA 19145-3933 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 18/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E52508 | (02) | PA |