Individual
JOHN R TOMASULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARK AVE, BAY SHORE, NY 11706-7381
(631) 581-4400
(631) 277-3750
Mailing address
135 STOOTHOFF RD, EAST NORTHPORT, NY 11731-3921
(631) 581-4400
(631) 277-3750
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
151000
NY
2086S0129X
Vascular Surgery Physician
Primary
151000
NY
Other
Enumeration date
07/31/2006
Last updated
12/06/2019
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