Individual
DAVID H. THIERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
849 57TH ST, BROOKLYN, NY 11220-3797
(929) 234-3150
(347) 955-5976
Mailing address
743 PASSAIC AVE, APT 439, CLIFTON, NJ 07012-1858
(800) 467-2392
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA042527000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02642675
—
NY
05
—
5396204
—
NJ
Enumeration date
09/30/2005
Last updated
05/03/2013
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