Organization
LTR PULMONARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT TOMASUOLO JR. M.D. (SOLE MEMBER)
(732) 286-9700
Entity
Organization
Contact information
Practice address
552 COMMONS WAY, BUILDING E, TOMS RIVER, NJ 08755-6432
(732) 286-9700
(732) 286-9722
Mailing address
1351 TAMARACK RD, MANASQUAN, NJ 08736-1142
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA05575000
NJ
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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