Provider Demographics
NPI:1033292883
Name:TOMAIO, ALFRED C (MD)
Entity type:Individual
Prefix:
First Name:ALFRED
Middle Name:C
Last Name:TOMAIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1700 WYNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-2440
Mailing Address - Country:US
Mailing Address - Phone:856-755-1616
Mailing Address - Fax:856-755-0098
Practice Address - Street 1:1700 WYNWOOD DR
Practice Address - Street 2:
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-2440
Practice Address - Country:US
Practice Address - Phone:856-755-1616
Practice Address - Fax:856-755-0098
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA062477208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
2270180000OtherAMERIHEALTH HMO, KEYSTONE, IBC
60002068OtherHORIZON NJ HEALTH
NJ7966709Medicaid
1592363OtherAMERIHEALTH PPO
1938545OtherUNITED HEALTHCARE
3K6029OtherHEALTHNET
38041OtherUNIVERSITY HEALTHPLAN
4695072OtherCIGNA
P2539945OtherOXFORD HEALTHPLAN
010005631OtherAMERICHOICE
3342130OtherAETNA
1592363OtherAMERIHEALTH PPO
3342130OtherAETNA