National Provider Identifier

Peter A Tomasello Jr., DO

Peter A Tomasello Jr., DO is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician in Jamestown, NY and a listed phone number of (716) 483-5306.

NPI 1174518120Jamestown, NYOrthopaedic Surgery Physician

Profile Overview

NPI
1174518120
Provider Type
Individual
Primary Specialty
Orthopaedic Surgery Physician
Enumeration Date
September 15, 2005
Last Updated
July 22, 2016

Practice Location

  • 207 Foote Ave
  • Jamestown, NY 14701-7077

Phone: (716) 483-5306

Mailing Address

  • 15 S Main St
  • Jamestown, NY 14701-6626

Specialties

  • Orthopaedic Surgery Physician (207X00000X)
Full Record
NPI
1174518120
Entity Type
Individual
Last Name
Tomasello
First Name
Peter
Middle Name
A
Name Prefix
Dr.
Name Suffix
Jr.
Credential
DO
Mailing Street Address
15 S Main St
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-6626
Mailing Country
US
Mailing Phone
(716) 488-1877
Mailing Fax
(716) 488-1986
Practice Street Address
207 Foote Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-7077
Practice Country
US
Practice Phone
(716) 483-5306
Practice Fax
(716) 483-5307
Enumeration Date
September 15, 2005
Last Updated
July 22, 2016
Deactivation Date
March 23, 2006
Reactivation Date
March 27, 2006
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthopaedic Surgery Physician (207X00000X)
Other Identifiers
253152601 (FL)