Individual
THOMAS PITOSCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 E WILLOW ST, MILLBURN, NJ 07041-1416
(973) 379-5055
(973) 379-5324
Mailing address
25 E WILLOW ST, MILLBURN, NJ 07041-1416
(973) 379-5055
(973) 379-5324
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
MA34941
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091257000
AMERIHEALTH
—
01
—
110026417
RAILROAD MEDICARE
—
05
—
1904400
—
NJ
01
—
221976546
QUALCARE
—
01
—
4228220
AETNA
—
01
—
HEALTHNET
0K4783
—
01
—
J1081
HORIZON
—
Enumeration date
05/27/2005
Last updated
05/05/2008
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