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Organization
T.K. THOMAS, M.D.
Active
Organization
T.K. THOMAS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
T K THOMAS MD (PRESIDENT)
(508) 765-9855
Entity
Organization
Contact information
Practice address
495 MAIN STREET, SOUTHBRIDGE, MA 01550
(508) 765-9855
(508) 764-6666
Mailing address
PO BOX 666, SOUTHBRIDGE, MA 01550
(508) 765-9855
(508) 764-6666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35816
MA
207RG0100X
Gastroenterology Physician
35816
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010038
—
MA
Enumeration date
10/01/2008
Last updated
10/01/2008
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