Organization
ANXIETY PANIC PHOBIA TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS TOKARZ PHD (OWNER)
(508) 428-5772
Entity
Organization
Contact information
Practice address
290 MAIN ST, COTUIT, MA 02635-3122
(508) 428-5772
(508) 420-4086
Mailing address
290 MAIN ST, COTUIT, MA 02635-3122
(508) 428-5772
(508) 420-4086
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2138
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
687753
TUFTS HEALTH PLAN
MA
Enumeration date
01/16/2009
Last updated
01/16/2009
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