Individual
THOMAS J. MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 ROSEBROOK WAY, WAREHAM, MA 02571-1138
(508) 273-4950
(508) 273-4951
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
79854
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110054517A
—
MA
Enumeration date
05/17/2006
Last updated
04/23/2020
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