Individual
THOMAS EDWARD JAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 CONGRESS ST, SALEM, MA 01970-5529
(678) 825-7100
Mailing address
5 S GROVE ST, BRADFORD, MA 01835-7517
(978) 374-0760
(978) 374-0760
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
220960
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079020
—
MA
01
—
412043
TUFTS HEALTH PLAN
MA
01
—
J27629
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
07/12/2006
Last updated
07/08/2007
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