Stinson, Thomas Wilder

Stinson, Thomas Wilder is an sole proprietor health care provider with primary practice located at 400 W Cummings Park Ste 1825, Woburn MA 01801-6519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Stinson, Thomas Wilder can be contacted via phone (781) 820-9732.

Contact Information

Primary practice address
400 W Cummings Park Ste 1825 Woburn MA 01801-6519
Phone: (781) 820-9732
Fax: (781) 989-9396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 39897 Massachusetts
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 39897 Massachusetts

Profile Details

NPI number 1275504862
LBN Legal business name Stinson, Thomas Wilder
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2006
Last updated Mar 2nd, 2012 - about 12 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 1275504862 NPPES
Massachusetts MEDICAID 6184456
Massachusetts Other AA17224
Massachusetts Other 050031023
Massachusetts Other 039897
Massachusetts MEDICAID 30201011
Massachusetts Other 992959
Massachusetts Other J03510

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