Individual
DR. IVAN M. TOMEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8949
(603) 650-8869
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8949
(603) 650-8869
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
12087
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010011
—
VT
05
—
30203803
—
NH
Enumeration date
06/24/2006
Last updated
08/22/2011
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