Provider Demographics
NPI:1245493899
Name:TOMASES, ARTHUR JACK (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:JACK
Last Name:TOMASES
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 1:1441 E 12TH STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6605
Mailing Address - Country:US
Mailing Address - Phone:917-714-8456
Mailing Address - Fax:206-600-5513
Practice Address - Street 1:1441 E 12TH STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6605
Practice Address - Country:US
Practice Address - Phone:718-336-0861
Practice Address - Fax:206-600-5513
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY120840207R00000X
NJ25MAO4711000207R00000X
CT046379207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine