Individual
THOMAS J CUOMO JR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13835 N TATUM BLVD, 9615, PHOENIX, AZ 85032-5581
(602) 859-9888
(480) 922-5903
Mailing address
11818 N 55TH PL, SCOTTSDALE, AZ 85254-4790
(602) 859-9888
(480) 922-5903
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
21499
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170723
AHCCCS
AZ
01
—
AZ0723220
BCBS PROVIDER NUMBER
AZ
Enumeration date
12/16/2005
Last updated
07/09/2007
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