Individual
DR. THOMAS FREDERICK JAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4200 SUNRISE HWY, MASSAPEQUA, NY 11758-5311
(516) 541-1064
(516) 798-9070
Mailing address
4200 SUNRISE HWY, MASSAPEQUA, NY 11758-5311
(516) 541-1064
(516) 798-9070
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
204322
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
204322
NY
208VP0014X
Interventional Pain Medicine Physician
204322
NY
Other
Enumeration date
09/29/2006
Last updated
04/04/2011
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