Provider Demographics
NPI:1184620510
Name:WESTERMAN, S. THOMAS (MD)
Entity type:Individual
Prefix:
First Name:S.
Middle Name:THOMAS
Last Name:WESTERMAN
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 1:170 AVENUE AT THE CMN
Mailing Address - Street 2:STE 6
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4568
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:STE 6
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4568
Practice Address - Country:US
Practice Address - Phone:732-460-0045
Practice Address - Fax:732-460-0068
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA01853000174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC52507Medicare UPIN
NJ014841Medicare ID - Type Unspecified