Individual
DR. TOMI T PRVULOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
197 RIDGEDALE AVE, SUITE 101-C, CEDAR KNOLLS, NJ 07927-2111
(973) 865-5111
(973) 292-0772
Mailing address
PO BOX 4, CEDAR KNOLLS, NJ 07927-0004
(973) 865-5111
(201) 939-1701
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
206029
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA06129800
NJ
208VP0014X
Interventional Pain Medicine Physician
206029
NY
208VP0014X
Interventional Pain Medicine Physician
26MA06129800
NJ
Other
Enumeration date
11/17/2006
Last updated
12/21/2011
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