Individual
DR. MICHAEL PAUL THACKREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
337 SOMERVILLE AVE, SOMERVILLE, MA 02143-2914
(617) 665-3370
(617) 625-1288
Mailing address
337 SOMERVILLE AVE, SOMERVILLE, MA 02143-2914
(617) 665-3370
(617) 625-1288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
253081
MA
207Q00000X
Family Medicine Physician
A112300
CA
Other
Enumeration date
11/18/2009
Last updated
05/01/2014
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