Individual provider · Type 1 NPI

Jack Philip Tom, MD

Dermatology Physician · Stony Brook, NY

NPI number 1093724239 Active

Practice location

207 Hallock Rd, Suite 211
Stony Brook, NY 11790-3033

Call (631) 444-0004 Map

Fax (631) 444-0088

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X155342 (NY)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1093724239

Jack Philip Tom, MD's National Provider Identifier is 1093724239, issued on Aug 5, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Stony Brook, NY. The record was last updated on Jul 8, 2007.