Provider Demographics
NPI:1336203801
Name:TOMSA, ANCA C (MD)
Entity Type:Individual
Prefix:
First Name:ANCA
Middle Name:C
Last Name:TOMSA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4802
Mailing Address - Country:US
Mailing Address - Phone:718-832-5980
Mailing Address - Fax:718-832-5991
Practice Address - Street 1:220 13TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4802
Practice Address - Country:US
Practice Address - Phone:718-832-5980
Practice Address - Fax:718-832-5991
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA060795002080A0000X
NY197011-12080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine