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Individual
DR. THOMAS P. O'MALLEY
Active
Individual
DR. THOMAS P. O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2556
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043579486
TAX IDENTIFICATION NUMBER
MA
01
—
2046485
FIRST HEALTH CCN
MA
01
—
351415
HARVARD PILGRIM HEALTHCAR
MA
01
—
7261412
AETNA
MA
01
—
Y36831
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/26/2007
Last updated
11/10/2010
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