Provider Demographics
NPI:1558334698
Name:ARMBRUSTER, THOMAS C (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:C
Last Name:ARMBRUSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D-11 HILLSIDE AVENUE
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07732-2015
Mailing Address - Country:US
Mailing Address - Phone:732-291-7762
Mailing Address - Fax:
Practice Address - Street 1:3200 SUNSET AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-4567
Practice Address - Country:US
Practice Address - Phone:732-776-9502
Practice Address - Fax:732-776-9506
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA06484500207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223360408-067OtherQUALCARE
NJ2K3339OtherHEALTHNET
NJP00040453OtherRAILROAD MEDICARE
NJP2829864OtherOXFORD
NJ5516545OtherGHI
NJ0009369Medicaid
NJ0009369Medicaid
NJ223360408-067OtherQUALCARE