Mayo, Thomas R

Mayo, Thomas R is an individual health care provider with primary practice located at 725 Albany Street, Suite 7B Shapiro Bldg., Boston MA 02118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Neurocritical Care. Allopathic & Osteopathic Physicians / Neurocritical Care is his primary health care specialty. Mayo, Thomas R can be contacted via phone (617) 638-8456.

Contact Information

Primary practice address
725 Albany Street, Suite 7B Shapiro Bldg. Boston MA 02118
Fax: (617) 638-8465
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 244204 Massachusetts
Allopathic & Osteopathic Physicians / Neurocritical Care 2084A2900X 244204 Massachusetts

Profile Details

NPI number 1386955144
LBN Legal business name Mayo, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2010
Last updated Apr 1st, 2024 - about last year

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 1386955144 NPPES
Massachusetts MEDICAID 110099690A

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