Individual
DR. MICHAEL WILLIAM THANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-9600
(617) 667-6405
Mailing address
36 LINSCOTT RD, HINGHAM, MA 02043-4716
(617) 667-9600
(617) 667-6405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55689
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3007201
—
MA
Enumeration date
11/20/2006
Last updated
07/08/2007
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