JACK PHILIP TOM

STONY BROOK, NY
NPI1093724239
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: NY  155342)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
-- JACK PHILIP TOM M.D.
207 HALLOCK RD SUITE 211
STONY BROOK, NY 11790-3033
Phone number: 631-444-0004
Mailing Address
-- JACK PHILIP TOM M.D.
207 HALLOCK RD SUITE 211
STONY BROOK, NY 11790-3033
Phone number: 631-444-0004
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