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Individual

DR. ALBERT TOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
168 KINSLEY ST, NASHUA, NH 03060-3634
(603) 578-9363
(603) 578-9539
Mailing address
PO BOX 808, NASHUA, NH 03061-0808
(603) 578-5054

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
043304
CT
207X00000X
Orthopaedic Surgery Physician
Primary
17285
NH
207X00000X
Orthopaedic Surgery Physician
MD429866
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1007307260034
MEDICAID GROUP #
PA
05
101705441 0001
PA
01
120420411
DEPT OF LABOR
PA
01
1883487
HIGHMARK BLUESHIELD
PA
01
25-1716306
GREATWEST HEALTHCARE
PA
01
3148288
UNITED HEALTH CARE (MAMSI)
PA
01
50061812
CAPITAL BLUECROSS
PA
01
7413854
AETNA NON-HMO
PA
01
867633
MEDICARE GROUP #
PA
01
G920-0142/KDM4CU
CAREFIRST
PA
01
MD429866
LICENSE
PA
01
P00841784
RAILROAD MEDICARE
PA
Enumeration date
06/29/2006
Last updated
03/07/2023
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