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Organization

THOMAS J. SCORNAVACCA, JR.

Active
Other names
Twin City Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS J. SCORNAVACCA JR. D.O. (OWNER. PHYSICIAN.)
(978) 534-8607
Entity
Organization

Contact information

Practice address
50 MEMORIAL DR, SUITE 103, LEOMINSTER, MA 01453-2238
(978) 534-8607
(978) 840-4670
Mailing address
50 MEMORIAL DR, SUITE 103, LEOMINSTER, MA 01453-2238
(978) 534-8607
(978) 840-4670

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
155208
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
155208
TUFTS
01
M17805
BLUE SHIELD
Enumeration date
03/15/2007
Last updated
07/31/2008
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