Provider Demographics
NPI:1780951327
Name:THOMAS NEUMAN DPM PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:THOMAS NEUMAN DPM PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:818-885-8400
Mailing Address - Street 1:9017 RESEDA BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3922
Mailing Address - Country:US
Mailing Address - Phone:818-885-8400
Mailing Address - Fax:818-885-5765
Practice Address - Street 1:9017 RESEDA BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3922
Practice Address - Country:US
Practice Address - Phone:818-885-8400
Practice Address - Fax:818-885-5765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty