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Contact Information

TOMI T PRVULOVIC, MD
197 RIDGEDALE AVE
SUITE 101-C
CEDAR KNOLLS, NJ07927-2111
 Phone: 973-865-5111
 Fax: 973-292-0772
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for TOMI T PRVULOVIC · (Male)

NPI Number 1831262559
Credentials MD
Entity Individual
Enumeration date 11/17/2006
Last updated 12/21/2011 - About 5 years ago
Sole proprietor 1 No
Identifiers
NJ License # 25MA06129800
NJ License # 26MA06129800
NY License # 206029
NJ Medicare NSC 6372250002
NJ Medicare PIN 171175
NY Medicare PIN A100023622
Hospital affiliation(s)
  • ORANGE REGIONAL MEDICAL CENTER - (Acute Care)
    707 EAST MAIN STREET
    MIDDLETOWN, NY 10940
  • SAINT CLARE'S HOSPITAL - (Acute Care)
    25 POCONO ROAD
    DENVILLE, NJ 07834
  • ST ANTHONY COMMUNITY HOSPITAL - (Acute Care)
    15 - 19 MAPLE AVENUE
    WARWICK, NY 10990
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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