Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS FREDERICK JAN, D.O.
Active Sole ProprietorDR. THOMAS FREDERICK JAN, D.O. is a Pain Medicine (PM&R) healthcare provider located in MASSAPEQUA, New York. NPI 1871685404 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (PM&R) · MASSAPEQUA, NY
Registration Details
- NPI Number
- 1871685404
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2006 (19.905831023876 yrs)
- Last Updated
- Apr 4, 2011
- Licenses
-
204322 (NY)204322 (NY)204322 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4200 SUNRISE HWYMASSAPEQUA, NY, 117585311Browse NY providers · Browse ZIP 11758
- Phone
- 5165411064
- Fax
- 5167989070
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
- Additional Specialty
- Pain Medicine (PM&R)
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.