Provider Demographics
NPI:1598927535
Name:S. THOMAS WESTERMAN MD PA
Entity Type:Organization
Organization Name:S. THOMAS WESTERMAN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:S.
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:WESTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-460-0045
Mailing Address - Street 1:170 AVENUE AT THE CMN
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4803
Mailing Address - Country:US
Mailing Address - Phone:732-460-0045
Mailing Address - Fax:732-460-0068
Practice Address - Street 1:170 AVENUE AT THE CMN
Practice Address - Street 2:SUITE 6
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4803
Practice Address - Country:US
Practice Address - Phone:732-460-0045
Practice Address - Fax:732-460-0068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA018530207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC52507Medicare UPIN