Bond, Thomas Cannon

Bond, Thomas Cannon is an sole proprietor health care provider with primary practice located at 578 Main St , Malden MA 02148-3900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bond, Thomas Cannon can be contacted via phone (781) 397-6789.

Contact Information

Primary practice address
578 Main St Malden MA 02148-3900
Phone: (781) 397-6789
Fax: (781) 397-2597
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 037233 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 037233 Massachusetts

Profile Details

NPI number 1972593648
LBN Legal business name Bond, Thomas Cannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2005
Last updated Mar 1st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972593648 NPPES
Massachusetts Other 037233 MEDICAL LICENSE
Massachusetts MEDICAID 3092941 MEDICAL LICENSE

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