Provider Demographics
NPI:1821163437
Name:TOMA, WADIE (MD)
Entity Type:Individual
Prefix:
First Name:WADIE
Middle Name:
Last Name:TOMA
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:PO BOX 366
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-0366
Mailing Address - Country:US
Mailing Address - Phone:732-869-1002
Mailing Address - Fax:732-869-1012
Practice Address - Street 1:3 HOSPITAL PLZ
Practice Address - Street 2:SUITE 409
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3093
Practice Address - Country:US
Practice Address - Phone:732-869-1002
Practice Address - Fax:732-869-1012
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA59515207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8213402Medicaid
NJG56724Medicare UPIN
NJ8213402Medicaid