Individual
DR. JULIE TOMBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
726 BROADWAY, NEW YORK, NY 10003-9616
(212) 443-1000
(212) 443-1000
Mailing address
726 BROADWAY, NEW YORK, NY 10003-9616
(212) 443-1000
(212) 443-1151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07781800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075582
—
NJ
05
—
03107619
—
NY
05
—
7461402
—
NJ
Enumeration date
02/22/2006
Last updated
03/01/2024
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