Jack P. Tom, M.D.
Dermatology · Stony Brook, NY
UnclaimedM.D.NPI 1093724239
- Primary taxonomy
- 207N00000X
- Enumerated
- 2006-08-05
- Practice location
- Stony Brook, NY
- Last NPPES update
- 2007-07-08
State licenses
- NY · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.