Basic Information
Provider Information
NPI: 1366615924
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOMASZEWSKI
FirstName: JESSICA
MiddleName: LANGMAN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 191
Address2: PROVIDER ENROLLMENT
City: ROCKLAND
State: DE
PostalCode: 197320191
CountryCode: US
TelephoneNumber: 3026516212
FaxNumber: 3026514945
Practice Location
Address1: 833 CHESTNUT STREET EAST
Address2: SUITE 300
City: PHILADELPHIA
State: PA
PostalCode: 191074405
CountryCode: US
TelephoneNumber: 2158618800
FaxNumber: 2158618815
Other Information
ProviderEnumerationDate: 04/03/2008
LastUpdateDate: 02/21/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XMD442712PAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


Home