Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 147494 | NY |
Y | 208600000X | Surgeon | 147494 | NY |
NPI | 1013164276 |
---|---|
Provider Name | Dr. Thomas W Loeb |
First Address | New York, NY 10028-0100 |
Second Address | New York, NY 10028-0100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2008 |
Last Update Date | 19/08/2008 |