Organization
CMORS MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS G OBRIEN II D.O (MEDICAL DIRECTOR)
(718) 367-8800
Entity
Organization
Contact information
Practice address
3130 GRAND CONCOURSE, SUITE B4, BRONX, NY 10458-1213
(718) 367-8800
(718) 367-4047
Mailing address
3130 GRAND CONCOURSE, SUITE B4, BRONX, NY 10458-1213
(718) 367-8800
(718) 367-4047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210513
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021579
MEDICAL LICENSE
NY
01
—
028117
MEDICAL LICENSE
NY
01
—
210513
LICENSE NUMBER
NY
Enumeration date
12/11/2006
Last updated
02/12/2008
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