Provider Demographics
NPI:1750320354
Name:THE HEAD AND NECK CENTER PC
Entity Type:Organization
Organization Name:THE HEAD AND NECK CENTER PC
Other - Org Name:TOMKIN OTOLARYNGOLOGY ASSOC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:TOMKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-432-8551
Mailing Address - Street 1:311 SOUTH CEDAR CREST BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103
Mailing Address - Country:US
Mailing Address - Phone:610-432-8551
Mailing Address - Fax:610-432-1384
Practice Address - Street 1:311 SOUTH CEDAR CREST BOULEVARD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103
Practice Address - Country:US
Practice Address - Phone:610-432-8551
Practice Address - Fax:610-432-1384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
034785Medicare ID - Type Unspecified