Provider Demographics
NPI:1346748423
Name:MICHAEL A TOMEO M.D.
Entity Type:Organization
Organization Name:MICHAEL A TOMEO M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:TOMEO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-938-8771
Mailing Address - Street 1:1650 HUNTINGDON PIKE STE 354
Mailing Address - Street 2:
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-8009
Mailing Address - Country:US
Mailing Address - Phone:215-938-8771
Mailing Address - Fax:
Practice Address - Street 1:1650 HUNTINGDON PIKE STE 354
Practice Address - Street 2:
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-8009
Practice Address - Country:US
Practice Address - Phone:215-938-8771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-24
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031507E207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty