Individual
THOMAS JAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,/M.P.H
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5072
(212) 263-7254
Mailing address
227 CHRISTOPHER COLUMBUS DR APT 203B, JERSEY CITY, NJ 07302-5499
(347) 770-0003
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
283238
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
283238
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2012
Last updated
06/17/2024
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