Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 25MA0510800 | NJ |
N | 208600000X | Surgeon | 25MA0510800 | NJ |
Y | 208200000X | Surgeon | 94-00624 | NC |
Y | 208600000X | Surgeon | 94-00624 | NC |
N | 208200000X | Surgeon | ME00623206 | FL |
N | 208600000X | Surgeon | ME00623206 | FL |
N | 2082S0105X | Plastic Hand Surgeon | 94-00624 | NC |
N | 2086S0122X | Plastic and Reconstructive Surgery | 94-60024 | NC |
NPI | 1134217839 |
---|---|
Provider Name | Dr. Thomas Joseph Rojy JR. |
First Address | Jacksonville, NC 28546-3220 |
Second Address | Jacksonville, NC 28546-3220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 11/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
72989 | BC/BS (01) | NC |
89-72989 | (05) | NC |
F57467 | (02) | NC |