Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DI15125 | NJ |
NPI | 1013002948 |
---|---|
Provider Name | Thomas Cord Lohmann |
First Address | Saddle River, NJ 07458 |
Second Address | Saddle River, NJ 07458 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 08/07/2007 |