Individual
DR. THOMAS A CHIODO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
348 E MAIN ST, SOMERVILLE, NJ 08876-3110
(908) 722-0850
(908) 722-0865
Mailing address
348 E MAIN ST, SOMERVILLE, NJ 08876-3110
(908) 722-0850
(908) 722-0865
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI20953
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770781411
LLC NPI AESTHETIC OMS
NJ
Enumeration date
06/11/2005
Last updated
08/24/2007
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