Smith, Thomas P

Smith, Thomas P is an individual health care provider with primary practice located at 1 Blackburn Dr , Gloucester MA 01930-2237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Smith, Thomas P can be contacted via phone (978) 281-1500.

Contact Information

Primary practice address
1 Blackburn Dr Gloucester MA 01930-2237
Phone: (978) 281-1500
Fax: (978) 282-3699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 35482 Massachusetts

Profile Details

NPI number 1285686170
LBN Legal business name Smith, Thomas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 28th, 2010 - about 15 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 1285686170 NPPES
Massachusetts MEDICAID 2015404

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