Individual
DR. THOMAS M NIEDBALA
Active
Individual
DR. THOMAS M NIEDBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA05934400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0656838000
AMERIHEALTH
—
01
—
0733044
AETNA
—
01
—
1089830
HORIZON NJ HEALTH
—
01
—
1388808
UNITED HEALTHCARE
—
01
—
300069412
RAILROAD MEDICARE
—
05
—
4603401
—
NJ
01
—
A3738029
OXFORD HEALTH
—
01
—
NI747400
PREMIER BLUE
—
Enumeration date
07/19/2005
Last updated
05/31/2012
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