Mccormack, Thomas P

Mccormack, Thomas P is an individual health care provider with primary practice located at 60 Brigham St , New Bedford MA 02740-2208. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mccormack, Thomas P can be contacted via phone (508) 999-6245.

Contact Information

Primary practice address
60 Brigham St New Bedford MA 02740-2208
Phone: (508) 999-6245
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 39439 Massachusetts

Profile Details

NPI number 1851397327
LBN Legal business name Mccormack, Thomas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 8th, 2007 - about 17 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 1851397327 NPPES
Massachusetts MEDICAID 2042169

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