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Organization

THOMAS W LOEB MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS W LOEB MD (PRESIDENT)
(212) 327-3700
Entity
Organization

Contact information

Practice address
994 FIFTH AVENUE, NEW YORK, NY 10028
(212) 327-3700
(212) 327-4506
Mailing address
16103 HORACE HARDING EXPWY, FRESH MEADOWS, NY 11365
(718) 461-9400
(718) 461-4003

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
147494
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0016556
GHI
01
0044795
AETNA
01
720522
BCBS
01
NS427
OXFORD
Enumeration date
11/16/2006
Last updated
08/22/2020
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